Topic Explanation:

The forum discussion revolves around the challenges faced by an individual experiencing frequent leaks with their ostomy bag. Despite initially managing to go two days between bag changes without skin issues, recent leaks have caused pain and frustration. The individual has tried various solutions, including different rings, wafers, and protective products, but continues to struggle. They are also dealing with bile malabsorption and diversion colitis, which complicates their situation. The person is seeking advice on how to manage leaks and improve their situation.

Advice and Insights:

1. Product and Technique Suggestions:
- Consider using Domeboro soaks to help with skin irritation.
- Hollihesive can be used to fill in cracks around the stoma.
- Use a barrier ring and ensure it is cut to fit the stoma's shape, possibly using two rings for better fit.
- Try using a convex wafer and a ring for better sealing.
- Use a syringe to apply paste in deep cracks for a better seal.
- Consider using 3M Advanced Skin Protectant or Marathon Skin Protectant to protect the skin.
- Try different barrier rings and sprays, such as 3M no sting spray or Cavilon spray, to help heal wounds and prevent leaks.
- Use Tegaderm until skin soreness eases up.

2. Insurance and Supply Management:
- Document leaks with photos to help get insurance approval for more supplies.
- Discuss with a doctor to request more supplies from insurance if needed.
- Shop around for the best prices on ostomy supplies if insurance coverage is insufficient.

3. Skin Care and Maintenance:
- Thoroughly clean the skin and remove all paste before applying a new appliance.
- Use stoma powder to absorb moisture and help the barrier adhere better.
- Consider using a belt to secure the appliance and prevent leaks.

4. General Tips and Support:
- Experiment with different products and techniques to find what works best.
- Seek advice from WOC (Wound, Ostomy, and Continence) nurses for specialized guidance.
- Be optimistic and aim for longer intervals between appliance changes.
- Understand that each person's situation is unique, and what works for one may not work for another.
- Engage with the community for support and shared experiences.