Topic Explanation
The discussion centers around the necessity and use of wafer extensions in ostomy care. The original poster (OP) had an emergency ostomy surgery, resulting in the stoma being placed in a challenging location on their abdomen. They have been using wafer extensions for added security but are experiencing skin irritation. The OP seeks advice on whether these extensions are essential or if they should rely on the wafer's adhesion alone.

Advice and Insights

1. General Use and Necessity of Wafer Extensions:
- Many users suggest that wafer extensions are not always necessary and should be used only if needed.
- Some users rarely use extensions, only in specific situations like extending the wear time of the bag.
- A nurse advised that "less is best," implying that if extensions are not needed, they should be avoided.

2. Skin Irritation and Allergies:
- Several users reported skin irritation and allergies to wafer extensions, similar to reactions to medical tape.
- It is recommended to try different brands and products to find one that does not irritate the skin.
- Users suggested using adhesive removal sprays or wipes to minimize skin pulling when removing extensions.

3. Alternative Solutions:
- Some users recommended using more skin-friendly tapes like 3M Micropore tape or Cover-Roll Stretch tape as alternatives to wafer extensions.
- Wearing a belt or ostomy wrap can provide additional security and reduce the need for extensions.
- Trying bags with a tape collar might eliminate the need for extensions altogether.

4. Product Recommendations:
- Users suggested trying different brands of barrier strips such as Coloplast's Brava Elastic Barrier Strips, Hollister's Adapt CeraPlus Barrier Extenders, ConvaTec's Ease Strips, and Entrust's Crescent Barrier Extension.
- Sampling various products from different companies can help find the most suitable one.

5. Skin Care Tips:
- Washing the skin with soothing solutions like Domeboro powder mixed in water can help alleviate redness and irritation.
- Ensuring the skin is clean and free of residue before applying new barriers is crucial.

6. Practical Tips:
- Users advised against frequent wafer changes as it can lead to skin irritation.
- It is important to find a balance between adherence and ease of removal to prevent skin damage.
- Monitoring the skin regularly and allowing it to heal if it becomes irritated is essential.

7. Personal