This topic is about understanding what constitutes a leak when it comes to ostomy care, specifically when a small amount of stool is found under the inner edge of the barrier ring. The question is whether this should be considered a leak or if it's just the barrier ring doing its job by absorbing output that touches the skin.

Here are some helpful insights and advice:

1. If output is directly on the skin, it is considered a leak. Look out for signs like itching, burning, or redness, which can indicate skin damage.

2. Some people with ostomies only consider it a leak if the output goes beyond the adhesive and reaches or stains the outer tape of the barrier. Minor seepage that stays under the ring might be okay if the skin remains healthy.

3. Change your appliance as soon as you notice output outside the barrier ring. If you see darkness or discoloration under the adhesive, it's time for a change.

4. At each change, check the back of the barrier to see how far erosion has gone. This can help you determine your personal wear-time, which can range from 1 to 7 days. Taking photos of the barriers can help you track any patterns.

5. If you have an ileostomy, the output is thinner and more acidic, which means seepage or leaks can progress faster than with a colostomy. The bile-rich liquid can irritate the skin quickly.

6. Many people with ileostomies change their appliances every other day and shower without the pouch. One person uses a transparent ConvaTec clear pouch to keep a close eye on the stoma and seal.

7. Barrier strips and rings can provide an extra seal. Several people find that barrier strips significantly reduce leaks, especially over uneven or creased skin.

8. If a leak starts, using temporary tape might give you a few extra hours, but more leaks are likely to follow. It's better to plan for a full change rather than relying on patches.

9. For managing gas, completely open the drainable pouch tail before releasing gas, gently push bubbles past the stool, avoid burping the pouch while lying in bed, and keep your head out of the covers if you need to burp in bed.