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Jun 22, 2024

Stoma Bag Leakage Issues with Ileostomy

This topic is about someone who, two months after having an ileostomy, is experiencing frequent leaks around their ostomy appliance. They have noticed swelling on one side of the stoma, and the leaks are happening on the opposite side. With a surgical reversal planned for next month, these leaks are understandably causing a lot of stress. Here are some helpful tips and advice shared by others who have faced similar challenges:

1. Consider switching to a convex wafer or convex bag system. These are designed to fit better around uneven areas and can significantly reduce leaks.

2. Use an ostomy barrier ring, like the Eakin Cohesive ring, under the wafer. Some people prefer a slim version for a tighter seal.

3. Apply stoma paste only where it's needed to even out the surface. Be careful not to use too much, as it can affect how well the appliance sticks.

4. When applying the wafer, try standing up. This allows your abdomen to take its natural shape, which can help the wafer fit better.

5. If possible, get an in-person demonstration from a stoma nurse. If that's not an option right away, watching detailed YouTube tutorials on using barrier rings and convex systems can be very helpful.

6. After cleaning your skin, make sure to dry the area thoroughly with a blow dryer on low heat. You can also warm the wafer’s adhesive briefly with the dryer, as warmer glue tends to stick better.

7. Some people find Domeboro powder helpful for soothing and drying irritated skin before applying the wafer.

8. Users have shared their experiences with different products:
- ConvaTec wafers used with Eakin Cohesive rings have been reported to last 1–3 weeks.
- Hollister 8901 drainable pouches have been used successfully, even after initial leaks.

9. Be prepared for some trial and error. Even with the best techniques, occasional leaks might still happen. However, most people find that once they discover the right combination of products and methods, the situation improves significantly.
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