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Apr 27, 2025

Struggling with Stoma Issues Post-Surgery

Struggling with Stoma Issues Post-Surgery

The original post discusses the challenges faced by an individual one week post-surgery with a stoma that is still convex and larger than expected. The person is struggling to find suitable ostomy products that fit properly and is feeling discouraged. They mention trying different products, including a flat Sensuro Mío bag and a video suggestion from Convatec about layering powder and skin protectant, which did not work as intended. The individual expresses frustration and self-anger, seeking advice beyond the typical "eat less and move more" for weight management.

Advice and Insights

1. Product Recommendations and Usage:
- Consider using TenS Aces skin barrier for better adhesion of the flange. Combine with a skin barrier ring and skin paste to prevent leakage. Use adhesive strips for additional security.
- Explore Coloplast products, which contain zinc in their base plate, potentially aiding in healing and protection. Dansac offers bags with an oval back plate, which may fit better for oval stomas and accommodate skin folds.

2. Managing Stoma Changes:
- Understand that the stoma is still swollen and may take about six weeks for the swelling to subside. The shape will change over time.
- Consider discussing with a surgeon the possibility of relocating the stoma if the current position is problematic.

3. Emotional Support and Coping:
- Avoid turning anger and frustration inward. It's important to give your body grace and not blame yourself for the situation.
- Venting frustrations is normal, but finding healthy outlets for emotions, like physical activity, can be beneficial.

4. Weight Management:
- Consider eating smaller, more frequent meals (5-6 times a day) instead of three large meals to help with stoma management and weight control.
- Explore medical options for weight loss, such as medications like Contrave, after consulting with a healthcare provider.

5. Communication and Follow-Up:
- Keep in touch with healthcare providers and product manufacturers for support and advice. Sending pictures to healthcare professionals for feedback can be helpful.
- Be proactive in researching and trying different products to find what works best for your specific needs.
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