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Aug 12, 2011

Update :)

This topic is about managing a new stoma after surgery, specifically dealing with issues like acid burns, using ostomy products like powder, paste, and rings, and preventing leaks. The person sharing their experience is grateful for previous advice and is seeking more tips on how to effectively use these products without causing leaks. Here are some helpful insights and advice from others who have been in similar situations:

1. Rings vs. Paste
- Many people find that using adhesive rings alone results in little to no leakage, while adding paste can cause problems.
- Paste can be messy, trap gas, break its seal easily, and irritate the skin. It's often better to use rings whenever possible.

2. Use Less Paste
- Paste expands with body heat, and using too much can cause it to rise above the stoma opening, leading to leaks.
- Using a very small amount, or skipping paste altogether, has helped some people maintain a seal for up to a week.

3. Modify the Ring for a Better Seal
- Try cutting the ring in half or using about one-third of it, then mold it back into a ring shape. This can improve adhesion.
- Place the ring on the barrier or wafer first, then fold the inner edge into the wafer opening to create a stoma collar. This technique has extended wear time from 3 days to 7-10 days for some.

4. Minimize Layers
- The more products you use between your skin and the flange, the higher the chance of failure. Keep your routine as simple as possible.

5. Using Powder
- Powder can help heal minor skin breakdown but may reduce wafer wear time.
- Lightly dust the area with powder, then tap it with a skin-prep wipe to keep the powder in place without affecting adhesion.

6. Extra Leak Protection
- Barrier strips, like those from Genairex, are sticky on one side. Placing 1-3 strips around the outer rim of the wafer can extend the barrier and reduce leaks.

7. Treating Acid Burns
- Ilex Cream can quickly soothe burns outside the wafer area. However, do not apply it under the barrier, as it can impair adherence.

These tips are shared by others who have navigated similar challenges, and they might help you find a routine that works best for you.
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