This topic is about a mother who is trying to help her daughter manage a loop ileostomy, which involves two stomas shaped like a sideways "8". The challenge is finding a way to fit the wafer properly to prevent leakage and skin irritation, especially since the daughter is undergoing cancer treatment and preparing for a bone-marrow transplant. Here are some helpful tips and advice:

1. Barrier Rings/Seals:
- Use formable products like Eakin Cohesive Seals or other moldable barrier rings. These can be stretched and pressed into the space between the two stomas to create a custom seal.
- Some people use a double-seal system by placing one ring directly on the skin around the stomas and a second ring on top of the wafer hole.
- Warm the ring with gloved hands after positioning to improve adhesion.

2. Wafer-Cutting Tips:
- Instead of cutting an exact "figure-8" shape, cut a single round or larger oblong hole and let the moldable rings do the precise sealing.
- Save the plastic backing from a successful cut to use as a template for future wafers.
- Create a reusable stencil from cardboard or plastic, trace it, and cut wafers before removing the old appliance.
- Use a sharp hobby or X-Acto knife on a firm surface, cutting away from the body for cleaner, safer cuts.

3. Output-Control Strategies During Changes:
- Eat one or two marshmallows 10–15 minutes before changing the appliance to slow ileostomy output. Alternatively, fast for a few hours beforehand.
- Change early in the morning when output is naturally lower.

4. Skin Protection & Adhesion Enhancers:
- Dust irritated or moist skin with stoma powder, then set it with a skin-prep or barrier wipe.
- Apply Calmoseptine Ointment over reddened areas as a moisture barrier and to soothe/heal, avoiding direct contact with the stoma mucosa.
- Follow with a thin layer of cohesive paste and a barrier spray or wipe to maximize wafer stickiness.

5. General Procedure Example:
- Cut a round wafer hole.
- Shape a slim barrier ring to fit that hole and apply powder and barrier wipe to the skin.
- Seat both stomas through the round opening, ensuring the functioning stoma has clearance.
- Press the wafer firmly, hold warmth for 1–2 minutes, and attach the pouch.

6. Other Recommendations:
- Keep the contact information for a Wound-Ostomy-Continence (WOC) nurse handy, as in-person fitting help can provide additional solutions.
- Search online for "stoma paste" and specific ring brands for demonstrations of application techniques.