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May 20, 2024

New Ostomate Seeking Advice on Nighttime Leaks and Ballooning

The topic is about preparing for a loop ileostomy, focusing on practical concerns like preventing night-time leaks and managing ballooning due to gas build-up. The person preparing for surgery is considering different ostomy systems and has several questions and concerns. Here are some helpful insights and advice shared by others:

- **Filter Performance & Gas Management**
- Filters on Hollister and SenSura Mio pouches may clog when lying down, but work better when standing. Some users cover the filter with a sticker or tape to prevent pancaking and manually release gas.
- Two-piece systems can make it easier to release gas at night.

- **Pouch Size & Style**
- Some prefer Hollister's longer pouches for overnight use, while others like the smaller SenSura Mio pouches for their discreetness under clothing.

- **Convexity & Security**
- A convex wafer or flange can help minimize leaks, especially for those who sleep on their side.
- For extra security, some use small binder clips on the pouch tail.

- **Accessory Rings, Strips & Seals**
- Products like Coloplast Brava moldable rings and Hollister barrier rings can provide additional security.

- **Night-Time Routines to Prevent Leaks/Ballooning**
- Empty the pouch before bed and consider setting an alarm for a bathroom visit during the night.
- Sleeping on your side or with your back elevated can help manage output.
- Avoid eating gassy foods late in the day.

- **Showering**
- Most people shower with the appliance on, as wafers are waterproof. Pat dry or use a low-heat blow-dryer afterward. Fragrance-free soap like Cetaphil is recommended.
- Shower covers are generally not needed, but options like Glad Press ’N Seal or a DIY guard can be used if desired.

- **Pouch Covers & Deodorizing**
- Opinions on StomaCloak and decorative covers vary; some find them cumbersome. Hollister deodorizing packets are helpful for odor control.

- **Hair Management Around Stoma**
- If possible, consider professional hair removal before surgery. Post-surgery, tools like a bikini trimmer or small scissors can help manage hair without affecting adhesion.

- **Wear Time & Skin Care**
- Reliable wear times range from 4 to 8 days, with some reporting up to 14 days. Limit changes to protect skin, and use tape if wafer edges lift.

- **Alternative Products & Brands**
- Consider trying different brands and products, as individual needs vary. Start with the hospital-supplied Hollister system as a baseline.

- **Extra Equipment Ideas**
- A hand-held bidet or toilet spray hose can help with pouch rinsing. A large washcloth can be used to dry the pouch while seated.

- **General Guidance**
- Experiment with multiple brands to find what works best for your anatomy and skin type. Begin with the hospital-provided system to learn the basics.
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