This topic is about finding a reliable, long-lasting convex ileostomy bag available in the UK. The person asking for advice has a loop ileostomy that retracts beneath the skin, so they need a convex pouch to help push the stoma outward. They currently use Pelican Select Convex bags but face several issues:

- The adhesive softens when they take a bath or swim, leading to leaks and urgent exits.
- Their weight fluctuates quickly, causing the bags to detach or leak unpredictably.
- The short wear-time of the bags means they often run out of supplies and sometimes experience leaks in public.

They are looking for a convex system available in the UK, preferably through Charter Healthcare, that stays secure for longer periods, even during bathing or swimming.

Here are some helpful suggestions and insights:

1. Add an Eakin Cohesive seal or a similar hydrocolloid ring under the wafer to improve adhesion and extend wear time.

2. Consider alternative convex systems with good adhesion, such as:
- Coloplast convex 1-piece and 2-piece pouches, available in pre-cut and cut-to-fit options, especially those with the Easiclose wide outlet.
- Convatec convex pouches in various sizes.

3. Use Adapt rings by Hollister (#7805) or full/partial Eakin rings to fill any uneven areas beside the stoma, which can help prevent edge leaks.

4. A support belt can be beneficial as it keeps the flange tight, reduces leaks, and helps the stoma protrude more. It can be worn daily, while bathing, and during outdoor activities.

5. Skin preparation tips to reduce leaks:
- Wash with unscented, non-lotion soap and ensure the skin is completely dry before applying the pouch.
- Avoid barrier wipes or adhesive removers if they irritate your skin, as many find the wafer sticks better to clean, product-free skin.
- Inspect the flange daily after each change. Once you know the average wear time, change a day early for added security.

6. For better application, warm the wafer or seal with a heater, lamp, hair dryer, or body heat (like under the armpit) to soften the adhesive and help it mold to the abdomen. This can increase wear time from 2 to 4–5 days.

7. Use a thin ring of paste (such as Adapt or Stomahesive) around the adhesive edge, especially across skin creases, to block seepage.

8. For weight stability, consider calorie-dense liquids like milkshakes or Boost to help maintain or regain weight.