This topic is about finding solutions for leaks and barrier breakdowns for someone living with an ostomy. The person is experiencing leaks, especially at night, and is looking for alternatives to Stomahesive Paste, which cracks and creates gaps. Here are some helpful tips and advice shared by others:
1. Surface Prep & Application Technique
- Ensure the skin around the stoma is completely clean and dry. Some people skip using barrier wipes altogether.
- Warm the adhesive side of the wafer with a blow-dryer for about 30 seconds before applying it. Press and hold it in place for 2 to 15 minutes. Lying flat can help flatten the abdomen.
- Use a hair-dryer on low to warm both the skin and the wafer, as warmth can significantly improve adhesion.
2. Product Changes to Try
- Consider switching to convex or deeper convex flanges if the stoma is below skin level or if a hernia changes the contours.
- Try different barrier rings like Eakin Cohesive, Hollister Adapt, or Coloplast Brava Moldable Rings. Each behaves differently, so sampling several might help.
- Explore different pastes such as Hollister Adapt Paste, Eakin Paste, or Coloplast Brava Paste, which are known to stay flexible and not crack.
- Some full systems that are found to be leak-proof include Coloplast SenSura Mio, Hollister Premier, and Coloplast Deep Convex.
3. Crusting Method for Sore/Weepy Skin
- Use a light dusting of Adapt Stoma Powder followed by a mist of 3M Cavilon or Adapt skin prep. Repeat 2-3 times, letting each layer dry to build a protective crust before applying the barrier ring.
4. Professional Help
- Schedule a session with a certified ostomy nurse. Convatec offers free video calls, and home-care nurses can help with cutting templates and identifying where leaks start.
5. Trial & Error Mindset
- Everyone's body shape, stoma protrusion, and output type are different. What works for one person may not work for another. Collect free samples from various brands and track wear-time and leak points to find the best combination.
6. Extra Leak-Blocking Tips
- Use barrier strips or waterproof tape around the wafer edge for extra security.
- Some people shower with the pouch on and remove it at the end, cleaning with baby wipes to minimize mess.
- Always carry spare supplies and swap products immediately if a ring or paste starts to break down.
These suggestions include a variety of brands and products like 3M Cavilon, Stomahesive Paste, Eakin Cohesive Seal, Hollister Adapt, Coloplast Brava, and more.
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