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Jun 09, 2023

Stool Leakage Around Stoma - How to Stop It and Treat Irritated Skin?

This topic is about dealing with stool leakage around a stoma, which can lead to sore and irritated skin. The person experiencing this issue is seeking advice on how to stop the leaks and soothe the damaged skin. Here are some helpful tips and insights:

1. **Check Fit and Sizing**
- Measure your stoma again, as its size can change over time. Even a small difference in size can cause leaks if the opening is too large.

2. **Add a Barrier or Seal Under the Wafer**
- Consider using a protective ring, like Eakin seals or similar brands. These rings create a snug fit, absorb minor leaks, and protect the skin as it heals.
- Sealing washers, which work on the same principle, are also recommended.

3. **Use a Belt for Extra Security**
- An ostomy belt can help keep the pouching system securely in place, reducing the risk of leaks.

4. **Optimize Adhesion**
- After applying the wafer, warm it by holding your hand over the barrier for about 5 minutes. The heat helps improve the adhesive bond.

5. **Skin Care**
- Continue using a skin-prep wipe or spray to create a protective film on your skin before applying the appliance.

6. **Appliance Wear-Time**
- Change your pouching system every 3 to 4 days. Leaving a wafer on for too long can lead to leaks and skin damage.

7. **Seek Professional or Brand Support**
- Consult with an ostomy nurse to review your products, technique, and stoma size.
- If you don't have access to a local nurse, reach out to product manufacturers like Hollister, ConvaTec, or Coloplast. They have staff nurses who can discuss options with you and may send free samples, such as Eakin seals from ConvaTec.

8. **Provide Product Details**
- Share specific product names, numbers, and details about your routine with others. This information can help them offer more precise advice.
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