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Feb 19, 2024

Dealing with a Smelly Ostomy Pouch - Need Advice!

This topic is about dealing with persistent odor issues from a two-piece ostomy pouch system. The person experiencing this problem has been using the system since July and is finding that within a day of applying a new pouch, an odor escapes and affects their clothing. Despite the flange clicking securely and no visible leaks, the odor remains a problem. Here are some insights and advice shared by others to help address this issue:

1. **Seal and Application Tips**
- A good seal should mean no smell. Warm the wafer with your hands or a hair-dryer for about 5 minutes after applying it.
- Make sure the flange tape lies flat. Use barrier rings or paste to fill any dips around the stoma.
- If your body contours have changed, possibly due to a hernia, consider resizing or switching products.

2. **Changing Products or Getting Samples**
- Try contacting companies like ConvaTec, Hollister, or Coloplast for free samples, including moldable wafers and different plastics.
- Some users have found that Hollister CeraPlus one-piece bags eliminate odors that escaped from their previous systems.
- If you find your current pouches thin and odor-permeable after two days, switching brands might help.

3. **In-Pouch Deodorizing Options**
- Use Hollister M9 drops or Hollister Adapt lubricating deodorant.
- Consider Diamond odor-control sachets, which deodorize and gel liquid output. These can be combined with a small amount of baby oil for easier emptying.
- Try Tic Tacs, other breath mints, or peppermint spray inside the bag.
- Mouth-wash–soaked cotton balls have mixed results.

4. **Avoid Oil on or Near the Wafer**
- Baby oil might weaken adhesion and allow odor to seep underneath. Many users avoid oily soaps and shampoos for the same reason.

5. **Securing the Tail-End of Drainable Bags**
- Fold and clip the outlet. The IGGIE CLIP is recommended to prevent microscopic seepage and to shorten the bag for comfort.

6. **Ensuring Full Coupling on Two-Piece Systems**
- Even if the pouch clicks, part of the ring might remain unlatched, allowing odor to escape. Double-check the circumference after attachment.

7. **Frequency of Changes**
- Some members notice a faint smell when their appliance is due for replacement. Consider changing the entire system more often, though the exact schedule can vary.

8. **Distinguishing Between Real and Perceived Odor**
- Ask someone you trust if they detect any smell. Anxiety can amplify perceived odors, but if others confirm it, there might be a genuine issue with the seal or material.
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