Topic Explanation:
The discussion centers around an individual who has had an ileostomy since 2008 and recently had their ostomy moved due to an infected hernia mesh. They are experiencing a burning sensation at the edge of their ostomy pouch and issues with the barrier ring swelling and pushing the opening up. They use Coloplast and Convatec products but previously used Hollister products, including a barrier ring. The individual is seeking advice on managing these issues, particularly with a small stoma that shrinks below the barrier ring.

Advice and Insights:

1. Consider returning to Hollister products or trying other brands, as the new stoma location might not be compatible with current products.

2. Ensure the wafer hole is cut to the correct size, neither too small nor too large, to prevent the stoma from going below the wafer and ring.

3. Consult with a surgeon to ensure the stoma is adequately pulled out and positioned correctly.

4. Try using Adapt convex barrier rings, which may require cutting to fit the stoma size. These rings can help prevent output from getting under the wafer.

5. Consider using a two-piece system for better management and fit.

6. If experiencing skin irritation, it might be a reaction to the glue on the wafer, which can improve over time.

7. Explore using bag covers made from soft fabric to prevent irritation from the bag fabric rubbing against the skin.

8. For those in the UK, consider trying SALTS products, which incorporate Aloe and are gentle on the skin.

9. Be cautious with the use of mesh in hernia repairs due to the risk of infection and complications. Biologic mesh is an alternative made from animal or human tissue, but some surgeons prefer to avoid mesh altogether.