Topic Explanation:
The discussion centers around the issue of barrier rings melting or disintegrating quickly after application around a stoma, specifically for individuals with a colostomy. The original poster uses Hollister rings and has tried other brands but continues to experience this problem. They are considering whether to stop using the rings altogether.
Advice and Insights:
1. General Experience with Barrier Rings:
- Some users experience swelling and small pieces breaking off from the barrier rings, but not complete disintegration.
- Barrier rings are designed to swell to fill the gap between the wafer and the stoma, which is normal.
2. Usage and Maintenance:
- Changing the bag and seal every 3-4 days is recommended to prevent breakdown and maintain effectiveness.
- Extending the wear time of the bag beyond this period can lead to issues.
3. Alternatives and Adjustments:
- Trying different brands, such as Coloplast Brava or Eakin rings by ConvaTec, may provide better results.
- Requesting free samples from different brands can help find a suitable product.
4. Considerations for Specific Stoma Conditions:
- For retracted stomas, using a barrier ring is advised, but it may require adjustments to avoid issues with the wafer and bag.
- Ensuring the wafer is cut to the correct size and shape of the stoma is crucial to prevent exposure of the ring to output.
5. Potential to Go Without a Barrier Ring:
- It is possible to go without a barrier ring, but it increases the risk of leaks. This decision depends on individual stoma characteristics and personal experience.
6. Additional Tips:
- Placing a hand over the bag/stoma for about ten minutes after application can help the ring start to swell and secure the fit.
- Monitoring for leaks and skin irritation is important to ensure the setup is working effectively.
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