This topic is about someone who has been living with an ileostomy for six months and is experiencing persistent leakage issues. Initially, they found a solution that worked well for a few months, but recently, the problem has returned, causing skin irritation and anxiety, especially after a public incident. They are seeking advice on products and techniques to manage their situation better. Here are some helpful suggestions and insights shared by others:

1. Cavilon Spray Skin Barrier:
- Use two light sprays at every change. It's a good idea to practice on your hand first to get the hang of it.
- After applying the spray, let it dry completely before placing the barrier ring and then the pouch.
- This method has helped others with similar issues, particularly in healing raw skin.

2. Barrier Rings:
- Consider using barrier rings that are slightly smaller than the stoma’s outer circumference. This can help improve the seal, especially when the stoma is flush or slightly recessed.

3. Convexity Options:
- Softer convex wafers might not be effective, so switching to hard or deep convex options could help prevent leaks.
- Some recommended products include Coloplast Sensura Mio Deep Convex one-piece and ConvaTec Active Life Deep Convex (drainable).
- Convexity is often essential for flat stomas to ensure a better fit and seal.

4. Support Products:
- Using Coloplast Elastic Tape around the baseplate can help prevent the edges from lifting and reduce the risk of leaks.

5. Manufacturer Support:
- ConvaTec offers video consultations with stoma nurses. They can observe an appliance change in real-time and provide personalized advice and adjustments.

These suggestions aim to provide practical solutions to manage the challenges of living with an ileostomy, especially when dealing with a flush stoma.