This topic is about dealing with some common issues that can arise after having ileostomy surgery, specifically related to the wax ring and bag suction. The person who just had the surgery is experiencing some problems with their ostomy setup and is unsure whether to change the appliance or wait. Here are some helpful tips and insights to consider:

1. If the filter on your pouch is clogged, it can create negative pressure, causing the pouch to stick to the stoma. To fix this, you can cover the filter with stickers or tape. Alternatively, you can let some air into the pouch by either unsnapping the top of a 2-piece system (if you switch to one) or by opening the drainable tail, blowing a small amount of air in, and then reclosing it.

2. If you notice "pancaking," where the output sticks to the top of the pouch, or if pieces of the barrier ring are floating around, don't worry too much. These are usually harmless, as normal output will generally push them aside.

3. To prevent the wax from migrating, make sure to align the barrier ring precisely with the pouch opening and pinch them together firmly all around. If the ring still squeezes out, you can re-mold it with your finger around the stoma after applying the pouch.

4. Gently pressing your finger around the stoma after applying the pouch can help the stoma protrude and keep the wafer and ring in place.

5. To reduce sticking or pancaking inside the pouch, you can lubricate it with commercial lubricants or even a drop of cooking oil.

6. If you continue to have problems, consider trying a convex 2-piece system, which provides firmer pressure and can improve flow. One successful setup includes a Hollister convex drainable pouch (2-piece), a pre-cut Hollister wafer, and a Salts ostomy seal with a collar.

7. Wearing a belt can help keep the flange snug and prevent movement that might distort the ring, which is especially useful at night.

8. For those with a urostomy experiencing similar wax-seal leaks, frequent cleaning of excess wax, using convex flanges with an ostomy belt, and ensuring the night drainage bag tubing is well supported can help reduce suction-related leaks.