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Mar 13, 2024

Poo Around Hole in Flange of One-Piece Ostomy Bag

This topic is about dealing with stool collecting around the flange hole of a one-piece ostomy bag. The person is concerned about potential leaks and is unsure if the hole is being cut incorrectly. Here are some helpful tips and insights to address this issue:

1. To prevent "pancaking," which is when stool collects around the stoma:
- Use a lubricant inside the pouch, such as Hollister Deodorizer Lubricant.
- Leave a small amount of air in the bag to help the output drop away from the stoma.
- Rinse the pouch with water each time you empty it.
- Drink more fluids to keep the output thinner.

2. To improve the seal around the stoma:
- Cut the wafer opening slightly larger than the stoma.
- Use a moldable barrier ring by cutting it in half, then stretch and shape it to fit snugly around the stoma where it meets the skin.
- Place the wafer over the ring. The ring will seal the stoma perimeter, and the wafer will seal to both the ring and the skin, helping to prevent leaks.

3. For quick cleaning of residue around the stoma:
- Open the tail of the pouch, pour in about a cup of water, close it, and swish it around to loosen any stool, then empty it.
- If the output is very thick or sticky, consider adding Hollister Deodorizer Lubricant instead of, or in addition to, water.
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