Topic Explanation:

The forum discussion revolves around tips for preventing leaks in ostomy appliances, specifically for individuals with an ileostomy. The original poster has tried various products and methods, including applying heat, but continues to experience leaks, particularly with a high-output, liquid consistency.

Advice and Insights:

1. Stoma and Skin Preparation:
- Ensure the stoma is well above skin level; flush stomas can cause issues.
- Avoid using oils, moisturizers, or creams around the stoma. Clean with plain water or soap followed by water.
- Ensure the skin is thoroughly dry before applying any products.
- Re-measure the stoma size regularly as it may change.

2. Barrier Rings and Wafers:
- Use barrier rings to help secure the appliance. Apply the ring to the wafer rather than directly on the stoma to avoid slippage.
- Consider using a light convex wafer if the stoma retracts or changes size.
- Apply a no-sting barrier film around the entire area where the wafer will be placed to improve adhesion.

3. Application Techniques:
- After applying heat to the appliance, press firmly over it for at least five minutes to help set it as it cools.
- Use a sticky barrier ring and press it down well around the stoma.
- Consider using prosthetic glue for a more secure fit.

4. Additional Support:
- Wearing a belt, such as a hernia belt, can extend wear time and provide additional support.
- Adjust clothing to avoid constricting the appliance, allowing more air circulation and reducing leaks.

5. Diet and Output Management:
- Control fiber intake to manage output consistency. High fiber can lead to thicker output, which may cause pancaking and leaks.
- Drink more fluids to thin out the output if it becomes too thick.
- Use foods, controlled drinking times, and medications like Imodium to manage high output.

6. Custom Solutions:
- Some users create custom baseplates and devices to fit their stoma more precisely, using materials like prosthetic glue and tapered inserts to prevent leaks.

7. General Tips:
- Experiment with different products and techniques as individual needs vary.
- Engage with community forums for shared experiences and additional advice.