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Apr 04, 2025

Barrier Rings Melting Quickly After Application

This topic is about dealing with barrier rings for a colostomy, specifically when they seem to "melt" or disintegrate soon after being applied. Here are some insights and advice that might help:

1. **Understanding Swelling vs. Melting**: It's common for barrier rings to swell when they come into contact with moisture or output. This swelling helps the ring to fit snugly around the stoma. While small pieces might break off, the main seal usually remains intact.

2. **Wear-Time Considerations**: Many people change their entire appliance every 3 to 4 days. Trying to extend this period, like going beyond 5 days, can lead to the rings breaking down more quickly.

3. **Exploring Different Brands**:
- Coloplast Brava rings are noted for not melting, even in hot and humid conditions.
- ConvaTec Eakin rings are recommended, and you can request free samples to try them out.
- Hollister rings have mixed reviews, with some users experiencing similar disintegration issues.

4. **Using Rings vs. Not Using Rings**: Going without a ring is an option, but it might increase the risk of leaks. This approach works best if the stoma protrudes well and the wafer hole is cut precisely to fit the stoma. Keep an eye out for any leaks or skin irritation if you decide to try this.

5. **Dealing with a Retracted Stoma**: If your stoma is retracted, adding a ring can make it even shorter, which might cause output to pool at the wafer level. Consider whether a convex wafer, a different ring thickness, or even surgical revision might be more beneficial.

6. **Cutting the Wafer**: Make sure the opening in the wafer is not too large. If the ring is exposed directly to output, it can break down faster.

7. **Application Technique**: After applying the wafer and ring, hold a warm hand over the area for about 10 minutes. This helps improve adhesion and starts the swelling and sealing process.

8. **Minor Seepage**: It's common to have a small amount of seepage under the ring that doesn't pass the seal. If your skin remains healthy, this usually means the system is working well.
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