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Jan 19, 2024

Tips for Adhesion and Showering with an Ostomy

Topic Explanation:
The discussion revolves around managing ostomy bag adhesion issues, particularly concerning how showering affects the adhesive's effectiveness. The original poster, Kim, is new to using an ostomy bag and is experiencing difficulties with the bag staying adhered for more than three days, often noticing issues after showering. Kim mentions that the adhesive starts to loosen, particularly at the top of the bag, and is considering solutions like a shower guard, though she is skeptical about its effectiveness. She also notes that she is still healing from surgery, with some swelling and a crinkly belly, which might be affecting the adhesion.

Advice and Insights from Replies:
1. Showering Techniques and Products:
- Shower without the wafer/bag when possible, as water and soap will not harm the stoma. Use soap without lotions, fragrances, or color to avoid interfering with wafer adhesion.
- When showering with the wafer/bag on, use a handheld shower head to avoid directly wetting the wafer/bag. After showering, dry the area thoroughly using a blow dryer on a low setting.
- Consider using Glad Cling Wrap or a similar product to cover the bag during showers to prevent direct water contact.

2. Adhesive Application and Maintenance:
- Ensure the skin around the stoma is completely dry and free of chemicals before applying the wafer.
- Use adhesive remover wipes to clean the area around the stoma before applying a new wafer.
- Consider using moldable barrier rings to create a flatter surface for the wafer, especially if the skin around the stoma is uneven.
- After applying the wafer, use a blow dryer on a low setting to help activate the adhesive.
- Flange extenders or barrier strips can be used to secure the edges of the wafer, especially in areas prone to lifting.

3. Product Recommendations and Adjustments:
- Experiment with different types of wafers and bags, such as those with cloth edges or solid pectin wafers, to see which provides better adhesion.
- Some users recommend specific products like Hollister 2-piece systems, Convatec bags, and various types of tapes (e.g., Nexcare pink tape, silicone tape) to enhance adhesion and manage edges.
- Consider using products like Cavilon No Sting Barrier, stomahesive powder, and
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