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Oct 06, 2023

Barrier Rings and Hernia Support Belts - Seeking Advice

This topic is about managing a prominent hernia or a prolapsed stoma using Nu-Hope belts and barrier rings. The person sharing their experience has been dealing with some challenges and is seeking advice on how to improve their situation. Here are some insights and suggestions that might be helpful:

- The person stopped using a Nu-Hope hernia support belt because it was causing discomfort by pushing the wafer down, which led to skin irritation.

- They are dealing with a large peristomal hernia and a 1.5-inch stoma prolapse, which makes the appliance noticeable under clothing, sometimes drawing unwanted attention.

- They plan to use Hollister Adapt Slim Moldable Barrier Rings to create a seal around the stoma. The method involves cutting a larger hole in the wafer, stretching the barrier ring over the stoma, applying the wafer, and then using the Nu-Hope belt. The hope is that the ring will protect the skin from the belt's pressure.

- They are unsure if this is the correct way to use barrier rings.

Additional considerations and experiences shared by others include:

1. Surgical repair of the hernia is not preferred due to concerns about recurrence and uneven skin surfaces.

2. Generic support belts were uncomfortable, so they opted for Nu-Hope belts in various widths. One model with a "prolapse strap" was modified to reduce sideways pull, but it still caused some issues.

3. High belt pressure can damage the skin, so they are considering sewing a Velcro extension to wear the belt more loosely.

4. Both Hollister and Convatec barrier rings offer similar skin protection, but belt pressure can cause the stoma to protrude, affecting the appearance. Barrier rings are still useful for quicker and cleaner wafer changes.

Advice and insights from others include:

- For barrier-ring placement, some suggest placing the ring directly around the stoma before applying the wafer, while others place it on the back of the wafer. The key is to ensure the ring opening matches the stoma size to avoid gaps.

- If a hernia belt causes bulging or compresses the wafer, consider using tight stretch pants, skinny jeans, or supportive underwear for a gentler approach.

- Loosening the belt can reduce skin trauma. If the belt is too small, adding Velcro extensions can help avoid over-tightening.

- Nu-Hope hernia belts are generally more comfortable than generic ones, and different widths can accommodate various body sizes.

- Prolapse straps can flatten the stoma but may cause pancaking; using a lubricant deodorizer in the pouch can help.

- Some have created custom protective devices, like a cap from a moisturizing-cream container lid, to shield the stoma and catch minor output.

- Dealing with public reactions involves focusing on confidence and assertive responses to staring or comments, as psychological strategies can be as important as physical solutions.
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