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May 22, 2025

Frequent Ileostomy Leakages: Seeking Advice and Support

This topic is about someone who has been living with an ileostomy for a year and a half without any issues, but suddenly started experiencing frequent leaks. This unexpected situation has led to multiple appliance changes and skin irritation. They are trying to manage the situation by reducing food intake and staying hydrated while waiting to hear back from their surgeon. They are also reaching out to others to see if anyone has faced similar problems. Here are some helpful suggestions and insights:

1. Consider the possibility of a faulty batch of wafers:
- Try using a new box of the same wafers.
- Report the issue to the supplier or manufacturer, as they often replace defective products.

2. Explore alternative products while waiting for replacements:
- Use any sample wafers or different pouching systems you might have on hand.
- Contact manufacturers for free samples and advice from their product specialists or ostomy nurses.

3. Check the stoma and how the appliance fits:
- Look for any changes in the stoma's shape or size, such as retraction.
- Ensure the wafer opening is cut to fit the stoma precisely, leaving no gaps.
- Make sure the barrier ring fits snugly around the stoma and that the wafer is placed correctly with no exposed skin.

4. Enhance the seal's longevity by thickening the output:
- Resume eating, as fasting can lead to very liquid output that weakens the seal.
- Consume foods that help thicken the ileostomy output, as thicker effluent can extend the wear time of the appliance.

5. Seek professional assistance:
- If the issue continues, schedule an appointment with an ostomy nurse for a thorough assessment of any stoma changes, the fit of the wafer, and to explore product options.
- Manufacturer clinical representatives can also provide advice on new products and techniques.
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