This topic is about managing some common challenges faced by people with an ileostomy, such as leaks, skin dips, and a recurring bump around the stoma. The person sharing their experience had an emergency ileostomy after serious health issues and is now dealing with these complications. They are looking for practical advice to help reduce leaks, protect their skin, and address the bump. Here are some helpful suggestions:

1. Consult a stoma nurse as soon as possible:
- They can provide personalized help with fitting, choosing the right appliances, and caring for your skin.
- The nurse can also treat the bump, which might be a granuloma, with silver nitrate during an outpatient visit.

2. Level the skin dips before applying the pouch:
- Use stoma paste to fill in any hollows, then add a barrier ring for extra security.
- Opt for a soft, flexible wafer that conforms well to your body. The Coloplast SenSura Mio is mentioned as a good option and is available in both one-piece and two-piece systems.

3. Consider using Varimate Wedges from Peak Medical in the UK:
- These foam wedges help fill in creases and come in two sizes, with many people finding the "large" size most effective.
- A useful application tip is to wrap folded toilet paper around the stoma, use a hair-dryer to dry the crease, then place the wedge, barrier ring, and wafer.
- You can request samples from their website.

4. Use skin-protective coatings:
- Marathon liquid skin protectant is recommended, though it might be hard to find in the UK. Similar products can be found on Amazon.

5. Consider a long-term solution:
- If leaks continue despite using accessories, discuss with your surgeon the possibility of relocating the stoma to a flatter area. This is a smaller operation than the original ileostomy.