This topic is about dealing with flange or wafer detachment issues when your abdomen swells due to constipation. Here are some helpful tips and insights to manage this situation:

1. Start with the basics: Consider factors like the type of ostomy you have, how long it’s been since your surgery, whether you have a peristomal hernia or prolapse, and the brand or model of your pouching system. All these can affect how well your flange fits and sticks.

2. Skin preparation is key for good adhesion:
- Use a soap that is free of scents, dyes, and lotions, like Cetaphil, to wash the skin around your stoma.
- Rinse thoroughly, pat the area completely dry, and try to prevent shampoos and conditioners from running over the stoma area by facing the shower and bending forward.

3. Enhance wafer adhesion with heat:
- Briefly warm the wafer with a hair-dryer on a low setting before applying it.
- Keep your wafers stored in a cool, dry place.

4. Provide support while the adhesive sets:
- After applying a new wafer or bag, wear a support or ostomy belt for about an hour.
- Consider wearing a thin Hollister belt that clips onto the flange all day for added security.

5. Product recommendations: Some people have success using the Hollister 2-piece system along with the Hollister belt.

6. Manage constipation effectively:
- Talk to your doctor about using an osmotic laxative like Miralax (polyethylene glycol) to keep your stool soft and reduce abdominal swelling.
- Start with the dose your doctor prescribes, as taking more can lead to excessive, delayed output.

7. Considerations for hernias or prolapses:
- Peristomal hernias or stomas that change shape or prolapse can cause swelling and hard areas under the ostomy, affecting wafer fit.
- Some people live with a painless hernia, while others opt for surgical revision. Keep in mind that skin contour changes after surgery can sometimes make adhesion more challenging.