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Jun 15, 2024

Stoma Care Tips Needed for Frequent Blowouts

Topic Explanation
The discussion in the forum revolves around seeking advice for managing frequent ostomy appliance blowouts, specifically for a stoma that is described as being the size of a pencil eraser and super convex. The original poster is experiencing challenges with their stoma care, having to change their appliance 2 to 3 times a day, and is looking for effective solutions to improve their situation.

Advice and Helpful Insights
1. Understanding Stoma Type and Appliance Fit:
- It is crucial to identify whether the stoma is a colostomy or ileostomy, as the care and management can differ.
- Knowing whether the stoma protrudes above the skin or is flush or below skin level is important for selecting the right type of appliance. A stoma that is below skin level can make achieving a good seal challenging.

2. Consultation and Professional Guidance:
- Consulting with a healthcare provider or a stoma nurse is recommended to address frequent blowouts and possibly discuss the option of stoma revision surgery.
- A stoma nurse can be particularly helpful in assessing the situation and recommending specific products or techniques tailored to the individual's needs.

3. Custom Solutions:
- Consider using custom-made ostomy bags. These are tailored to fit the unique shape and size of the stoma and surrounding area, potentially improving the appliance's fit and reducing blowouts.
- The process involves making a mold of the stoma and surrounding area, which is then used to create a custom appliance.

4. Use of Supporting Products:
- Utilizing additional products such as barrier rings and paste can help in achieving a better seal, especially for stomas that are below skin level or have surrounding skin folds.

5. Temporary Solutions and Coping:
- If the ostomy is temporary, weighing the pros and cons of undergoing a revision surgery is necessary, especially considering the expected timeline for a reversal surgery.
- Finding temporary coping mechanisms while waiting for custom products or further medical advice can be crucial in managing day-to-day comfort and hygiene.
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