This topic is about someone who experienced a severe skin reaction after switching from Coloplast Brava barrier rings to Eakin rings. Initially, the Eakin rings seemed ideal, but they eventually caused a painful rash that made it difficult for the flange to stick. Here's a summary of the advice and insights shared:

1. Skin Care and Assessment
- Consider purchasing "Abdominal Stomas and Their Skin Disorders" for guidance on treatment and skin conditions.
- If you suspect a chemical-irritant dermatitis, try switching to a different batch of the same product.

2. Choosing and Testing Rings and Wafers
- Many people have had similar reactions to Eakin rings and have switched back to Coloplast Brava or tried Hollister Adapt Cera rings.
- Test new products on a different part of your abdomen to check for allergies before using them around your stoma.
- Some users find Hollister rings easier to clean and more comfortable.

3. Application and Removal Techniques
- Attach the ring to the flange before applying it to your body, and warm it slightly for better adhesion.
- Allow barrier films like 3M Cavilon to dry completely before fitting your appliance.
- Use adhesive-remover wipes or spray for gentle removal, pressing the skin inward while lifting the wafer.

4. Medications and Topical Treatments
- Nystatin powder can help with fungal rashes but may affect adhesion; use sparingly and seal with a barrier film.
- Domeboro soaks can reduce weeping but may dry out the skin; rinse thoroughly after use.
- Consider using 3M Marathon barrier or extra Cavilon layers for protection.

5. Hydration and Output Management
- Ileostomates need more sodium; choose an Oral Rehydration Solution with at least 1100 mg sodium/L.
- Sports drinks alone are not sufficient for hydration.
- Use bananas and loperamide to thicken output and extend wear time.

6. Wear-Time Strategies
- Colostomates may achieve longer wear times than ileostomates due to differences in output.
- Factors like exercise, heat, and diet can affect ring breakdown, so be ready to adjust your schedule.
- Keep a good stock of supplies like flanges, rings, and adhesive removers.

7. Miscellaneous Products
- 3M Cavilon no-sting barrier film and swabs are recommended.
- Hollyhesive skin barriers and Convatec Esteem pouches can be useful in emergencies.
- Some prefer spray adhesive removers for easier appliance removal.

8. Gentle Flange Removal Tip
- Find a loose edge, hold the wafer, push the skin inward, and peel slowly while wiping underneath to avoid skin damage.