This topic is about dealing with frequent leaks and skin irritation when using a Hollister 1-piece ostomy appliance. The person sharing their experience had trouble with their pouch not staying on, which led to skin burning around the stoma and multiple changes in a short period. After a visit to the ER, a nurse helped by switching to a 2-piece system, which stayed secure for several days. They also received support for ostomy supplies from Indian Affairs. Here are some helpful tips and insights shared in the discussion:

1. Consider using an ostomy belt. It can help hold the wafer more securely and reduce the chances of leaks.

2. Be cautious with the amount of paste you use. It should be applied sparingly, just to fill in uneven areas, rather than as an adhesive. Using too much can actually weaken the seal.

3. If paste isn't working well for you, try switching to barrier rings. They are often easier and cleaner to use. You might also try adding Genairex Barrier Strips around the wafer to improve adhesion. You can request samples directly from Genairex.

4. Avoid using alcohol-based pastes and wipes if your skin is sore or weeping, as they can cause more burning and irritation.

5. Safe ‘n Simple (SNS) offers alcohol-free cleansing wipes that are larger and gentle on irritated skin, providing a non-stinging option.

6. Many people find that 2-piece systems last longer, typically 5 to 12 days, compared to 2 to 3 days for 1-piece systems. If you choose to use paste, apply small amounts only in areas like abdominal creases to help prevent leaks.