This topic is about dealing with issues related to the adhesion of ostomy bags, particularly in a humid climate, one month after surgery. The person is experiencing problems with their pouching system not sticking well due to reduced swelling post-surgery. They have tried using extra tape, but it causes discomfort by pulling on the stoma. Since they have a good supply of Convatec products, switching brands isn't an immediate option. Here are some helpful tips and advice for managing these challenges:

1. Ensure the skin around the stoma is completely dry before applying the appliance. You can blot it with tissue or use a hair-dryer on a cool or air-only setting.

2. Warm the wafer or flange before or after applying it. You can use a low-heat hair-dryer for about 30 seconds or place a microwave-warmed dry bean-bag or reusable gel heat pack over the appliance for 2 to 5 minutes.

3. Measure the stoma weekly during the first 6 to 8 weeks and adjust the size of the wafer hole or barrier ring as the stoma shrinks.

4. Apply firm pressure with your hand or palm over the flange for about 5 minutes after fitting to improve adhesion.

5. Use fragrance-free, lotion-free soap, like Cetaphil, when bathing, as scented soaps can affect the adhesive's stickiness.

6. Consider using or adjusting a barrier ring if you haven't already. It can help prevent leaks and reduce stress on the flange.

7. Use a support belt or wrap to prevent the weight of a filling pouch from pulling on the seal. Options include peristomal hernia support belts or belts that snap to the flange if your system has belt tabs.

8. Limit the use of accessory products unless necessary. Avoid routine use of barrier film sprays or wipes, and reserve them for treating irritated skin.

9. Adjust the frequency of changes. Many people successfully wear a wafer for 4 to 7 days. Frequent complete changes can irritate the skin and waste supplies.

10. Store your supplies in a cool, dry place, away from bathroom steam, direct sunlight, or extreme temperatures to prevent adhesive degradation.

11. If you continue to experience leaks or poor adhesion, reach out to an ostomy or WOC nurse through your supplier. Manufacturers like Coloplast, Convatec, and Hollister offer nurse support and can provide free samples of alternative products.

12. For more educational resources, check out the "Let’s Talk IBD" YouTube channel, which offers practical videos on leak prevention, drying techniques, and managing high-output ileostomies.