This topic is about adjusting the size of a barrier ring and dealing with "turtlenecking" after having a loop ileostomy surgery. The person is experiencing some discomfort and is trying to find the right fit for their ostomy appliance. Here are some helpful tips and insights:

- Barrier rings are designed to swell or "turtleneck" when they absorb output. This is normal, and the material is soft enough that it usually won't constrict or suffocate the stoma.

- To minimize the amount of the ring that creeps up, stretch it so that only 1–2 mm touches the stoma, with the rest sitting on the skin.

- Cut the wafer to match the current size of your stoma. If it's too large, it can leave skin exposed, causing itching or burning. If it's too small, it might nick the stoma, but minor cuts typically heal quickly. Make sure to smooth any rough edges on the wafer.

- Some barrier rings can swell more than others. For instance, Brava (Coloplast) rings have been reported to tighten and affect circulation. Switching to Hollister Slim barrier rings, which swell less, helped one user.

- When applying the ring, place it around the wafer opening rather than directly on the stoma. If it slips into the hole during application, push it back so it sits on the wafer edge. An example of this technique is using the Hollister CeraRing #2.

- The frequency of changing your appliance matters. Long wear times can cause the ring to over-swell. Changing it twice a week, such as on Monday and Friday, can help prevent this.

- Using a snug ostomy belt can help press the wafer firmly against the skin, reducing leakage and irritation. Tightening the belt helped one user clear up redness, even though it caused some turtlenecking.

- Be cautious with skin products. For example, Cavilon barrier wipes can sometimes cause irritation. Discontinuing them improved skin condition for one person.

- Consider alternative products or DIY solutions. Salts Healthcare offers a "Stoma Collar," a soft rubber collar that can replace paste or rings, though they currently don't ship free samples to the USA. Alternatively, you can create a DIY collar by cutting the flat rim off a plastic bottle cap to use as a custom protective collar.

- Generally, most barrier rings are flexible enough that normal swelling won't choke the stoma. Keep an eye on the stoma's color and output, and adjust the size or product if you notice any blanching or circulation issues.