Topic Explanation
The forum discussion centers around a user experiencing significant issues with stoma care, particularly with leaks and skin irritation. The user's stoma is at or below skin level, making it difficult to use traditional rings, and they are currently using stoma paste. They have purchased 3M Cavilon durable barrier cream to protect their skin but are concerned about its compatibility with adhesive products. They seek advice on whether applying skin prep over the barrier cream will help secure their ostomy bag.

Advice and Insights

1. Product Recommendations:
- Cavilon No Sting Barrier Spray: Recommended as it allows the appliance to stick without issues. Spray it on the back of your hand first to get used to it.
- Convex Wafers: Suggested for pushing down on the skin to expose more of the stoma, which can help with adhesion and reduce leaks.
- Hard Convex Pouches: Specifically mentioned as effective for flat or skin-level stomas, helping the stoma protrude into the pouch.

2. Application Techniques:
- Barrier Wipes and Stoma Powder: Apply stoma powder around the stoma, followed by a barrier wipe until dry. Ensure the barrier wipe does not touch the adhesive area to avoid making it gooey.
- Warm the Base Plate: Place the base plate against your skin to warm it before application, which can improve adhesion.
- Press and Hold: After applying the pouch, press and hold it with a warm hand for about 30 seconds to ensure a good seal.

3. Routine Adjustments:
- Avoid Barrier Wipes on Adhesive Areas: Do not let barrier wipes or stoma powder touch the adhesive area of the pouch to prevent issues with adhesion.
- Standing for Bag Changes: Some users find standing during bag changes improves adhesion and fit.

4. Seeking Professional Help:
- Stoma Nurse Consultation: Recommended to consult a stoma nurse, especially if skin condition worsens. Many companies offer virtual visits and free samples.
- Contact Ostomy Product Manufacturers: Companies like Hollister and Convatec provide free samples and have stoma nurses available for consultations.

5. Personal Experiences:
- Trial and Error: Emphasized the importance of patience and experimentation to find the right combination of products and techniques.
- Convex Pouches and Support Belts: Combining