Topic Explanation
The forum discussion centers around a user experiencing sudden and frequent leakage from their ileostomy bag after six months of trouble-free use. The user is seeking advice on how to manage and prevent these leaks, mentioning that they use Hollister bags and have tried various products like wafers, paste, and strips without success.

Advice and Insights

1. Consult an Ostomy Nurse:
- Contact an ostomy nurse for personalized advice.
- Medical supply companies also have ostomy nurses available.

2. Stoma Protrusion and Convex Wafers:
- Ensure the stoma protrudes adequately above the skin.
- Use convex wafers to push the skin down and direct output into the bag.

3. Skin Preparation:
- Use soap without perfumes, lotions, or oils (e.g., Cetaphil bar soap).
- Ensure the skin is completely dry before applying the wafer.
- Use a blow dryer on low heat to preheat the wafer for better adhesion.

4. Product Samples and Bad Batches:
- Request free samples from ostomy medical suppliers to try different products.
- Report any potential bad batches to the supplier.

5. Application Techniques:
- Make sure the bag is warm before application.
- Use barrier strips and ensure the skin is cool and clean before applying a new bag.
- Cut the bag opening to fit closely around the stoma, leaving a small gap for flexibility.
- Use Maalox or a similar antacid liquid to soothe and protect irritated skin.

6. Barrier Rings and Wafers:
- Consider using a convex wafer if not already doing so.
- Barrier rings can help with adhesion and leak prevention.
- Avoid overusing products like stoma powder and barrier wipes if the skin is healthy.

7. Observation and Adjustment:
- Check the back of the flange for leak patterns to identify problem areas.
- Adjust the thickness of the barrier ring based on stoma shape and protrusion.

8. Skin Health:
- Keep the skin around the stoma healthy and dry for better adhesion.
- Use antifungal cream or powder if recommended by a healthcare professional.

9. Product Preferences:
- Different products work for different people; try various brands and types (e.g., one-piece vs. two-piece systems).
- Some users find better results