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Jun 24, 2025

Advice Needed for Ostomy Pouch and Barrier Ring Issues

This topic is about someone who has been living with an ileostomy since 2008 and recently had their stoma relocated due to complications with infected hernia mesh. They are now experiencing some issues with their ostomy setup, specifically a burning sensation around the pouch edge and swelling of the barrier ring. Here are some helpful suggestions and insights shared by others:

1. Try Different Products:
- Consider switching back to Hollister pouches and wafers or trying different brands to find one that fits better with the new stoma location.
- A two-piece Hollister system might make it easier to change wafers and ensure a more accurate fit.

2. Product Recommendations:
- Hollister Adapt Convex Barrier Rings, which may need trimming to fit the stoma size, are known to stay in place even if output gets under the wafer.
- Convatec Esteem Body Convex one-piece is recommended for its security, especially when swimming.
- SALTS products from the UK, which include aloe, are gentle on the skin.

3. Check Sizing:
- Make sure the wafer opening is the right size—not too small to cause pressure and burning, and not too large to cause leaks.
- If the ring is too tight, it can swell and distort; consider enlarging the opening slightly or trying a different ring type.

4. Evaluate Stoma Protrusion:
- A shallow or retracted stoma can cause issues with the convex wafer, leading to pressure and burning. It might be helpful to have a surgeon or ostomy nurse assess whether further revision, a change in convexity, or belt support is needed.

5. Consider Adhesive Sensitivity:
- Burning or itching without visible redness might be a mild reaction to the adhesive. This often improves over time but can be managed by rotating brands or using barrier wipes or sprays.

6. Consult an Ostomy Nurse:
- A professional assessment can help identify fit issues, confirm the correct depth of convexity, and teach alternative techniques for applying the ring.

7. Comfort Measures:
- If the fabric edges of the pouch are irritating the skin, try using cloth pouch covers or making soft fabric sleeves. There are DIY patterns available online, such as those on vickymyerscreations.co.uk, to help reduce abrasion.
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