Topic Explanation
The forum discussion revolves around understanding what constitutes a leak in the context of an ileostomy. The original poster is seeking clarification on whether a bit of output getting under the inside edge of a ring or the ring absorbing output against the skin is considered a leak. They mention that they often find a bit of output around the inside edge under the ring by the time they remove their bags, but it has only once made it all the way to the outside of the ring.
Advice and Insights
- Definition of a Leak:
- If output is on your skin, it is definitely a leak.
- A leak is when the barrier ring and the wax ring have been compromised all the way to the outside tape.
- Seepage between the barrier or wax is okay if the barrier wipe is doing its job and the skin does not get affected.
- A leak is anything that has breached the adhesive. Darkness outside the barrier ring indicates it is time to fix things.
- A major leak or blowout is when stool or urine seeps underneath the barrier and out the sides, requiring an immediate pouch change.
- A large leak is when the barrier is almost to the edge for a major catastrophe.
- A little leak is a bit of poo around the barrier ring edges, which is nearly normal erosion for an ileostomy, but skin irritation is not good.
- Personal Experiences and Practices:
- Some users change their bag every other day and take a naked shower as part of their routine.
- Checking the adhesion around the bag after day 2 is a common practice, especially for those with crinkly skin.
- Barrier strips can make a significant difference in preventing leaks.
- Observing the back of the barrier when changing it helps determine "wear time" and prevent leaks.
- Wear time varies from person to person, ranging from 1 day to 7 days.
- Additional Tips:
- Always make sure to fully open the tail when passing gas.
- Never force the gas bubble sitting above a load of stool; gently push it around instead.
- Avoid burping your bag while lying in bed, and if you do, ensure your head is not under the covers.
- Taping down a leak can provide temporary relief but is not a long-term solution.
- Being conscious of checking the bag and barrier regularly can help manage and prevent leaks.
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