This topic is about managing the challenges faced after colostomy surgery, particularly with the use of barrier rings and ostomy bags. The person in question is experiencing issues with the barrier ring swelling quickly, which reduces the wear-time of the ostomy appliance and leads to frequent changes. This situation is causing stress and anxiety. Here are some helpful tips and insights to address these concerns:

1. Measure your stoma at every change for the first six weeks, as it tends to shrink daily. Cut the wafer only 1 mm larger than the stoma to prevent output from getting under the ring and causing it to swell.

2. Consider trying different barrier rings, as various brands may perform differently. You can request samples from companies like Hollister, Coloplast, and Convatec. Some options include:
- Hollister Adapt Cera Ring 8815 (slim) or 7805 (standard), which tend to swell less.
- Coloplast Brava Thin Seal, which can be used with Convatec wafers and pouches.

3. Adjust your technique:
- Some people find it helpful to cut the ring, wrap it around the base of the stoma, and then apply the wafer.
- Position the ring slightly back from the cut edge or flatten the outer rim to allow it to expand without intruding into the bag.
- If using Hollister’s oval template, ensure it closely matches the stoma size and print a new one as the stoma changes.

4. Consider using a belt or applying gentle pressure with a Hollister or generic flange belt to improve adhesion and prolong wear-time.

5. For deep skin creases, an ostomy nurse can demonstrate filling and layering techniques, as creases often lead to early failure.

6. Check the consistency of your output. Normal colostomy output should not liquefy the ring. If the output is very liquid, consider reviewing your diet or hydration.

7. Extender seals, which are U-shaped strips that form a full circle, can provide extra security and help manage leaks.

8. Focus on establishing a predictable schedule rather than just counting the number of days between changes. Bodies differ, and it's important to find what works for you.

9. Keep a "go bag" with spare appliances, extender seals, small towels, a change of clothes, and other essentials to feel more confident when away from home.

10. For lubrication and odor control, try adding 1 teaspoon of Hollister Adapt lubricating gel at the top of the pouch to prevent sticking, and 1 tablespoon of hydrogen peroxide at the bottom for odor control.

11. Be kind to yourself. The early weeks after surgery involve trial and error, weight changes, increased activity compared to hospital bed rest, and emotional adjustment.