Topic Explanation:

The discussion centers around managing leaks and skin irritation for a recessed ileostomy. The original poster has tried various barrier rings from brands like Hollister, Coloplast, and Convatec, but has faced inconsistency in their effectiveness. The peristomal area is inflamed, and attempts to fix the issue with a stoma nurse's advice were short-lived. The poster is seeking advice on using Ostoform barrier rings and Hydrofera Blue dressings to address these issues.

Advice and Insights:

1. Consider using bags with convex wafers to help the stoma protrude more. Check for latex allergies and try latex-free barrier rings from Safe n Simple.

2. Ostoform barrier rings may not be effective for recessed stomas. Some users found the attached spout useful but had issues with the barrier ring itself. It might be worth trying a sample, but results can vary.

3. Adapt convex barrier rings are suggested as an alternative to try.

4. Address the inflamed peristomal skin before evaluating new products. Change the barrier daily and apply a Domeboro soak (aluminum acetate topical astringent) for 10-30 minutes before installing a new barrier. Use a breathable waterproof film dressing like Tegaderm over the skin before applying the barrier.

5. Consider surgical options to relocate the stoma to a smoother, flatter area where it protrudes more, as a long-term solution.

6. Use skin protectants like Dermabond or Tegaderm to help the skin recover. Apply skin protectant spray or wipes, let it dry, and then apply the dressing. Cut the dressing to fit specific areas if needed.

7. Reducing refined carbs in the diet may help with skin issues.

8. Second skin barriers, available in spray or pad form, can be applied around the stoma area to prevent skin issues.