This topic is about the use of barrier spray in ostomy care and whether it helps or hinders the process. The person sharing their experience had some painful issues with leaks and skin irritation after changing their routine, and they are seeking advice on how to manage these problems. Here are some helpful insights and advice based on their experience and the responses they received:

1. **Trial and Samples**
- Request free samples from different brands like Hollister, Coloplast, ConvaTec, Salts, and B. Braun. Each product can behave differently depending on the person.

2. **Using Powder and Spray ("Crusting")**
- Use stoma or antifungal powder only on moist, weepy, or raw skin. Dust lightly and brush off any excess.
- Seal the powder with a barrier spray or wipe, such as 3M Cavilon, Brava, or Marathon. If the powder is not sealed, the adhesive may fail and cause leaks.
- Allow the spray or wipe to dry completely, which takes about 10 seconds, before applying the appliance.

3. **Barrier Spray/Wipe Usage**
- Modern hydrocolloid wafers already protect the skin, so many nurses recommend using spray only when powder is applied or if the skin is irritated.
- Hollister advises against using skin prep with CeraRing due to potential interactions with its ceramide lotion.
- Some people use Cavilon or Brava wipes with every change and have good results, while others stop using them once the skin heals.

4. **Barrier Rings and Wafers**
- Some users find that CeraRing and Eakin seals disintegrate, but alternatives like Hollister Adapt 7805 rings and Salts Aloe rings hold up better.
- Successful routines include combinations like Cavilon spray with Salts Aloe ring and Hollister bag/flange, or powder on red areas with Cavilon spray and Hollister barrier ring.

5. **Skin-Healing Measures**
- Allow air exposure during changes and take showers without the appliance if possible.
- Use Vashe or Domboro soaks for weepy skin, and apply low-dose steroid or hydrocortisone sparingly for inflammation. Nyamyc antibiotic powder can help with infections.
- Brava barrier cream is good for dry skin, and AquaGel Ag or DuoDerm can bandage open areas, but thick layers may prevent adhesion.
- Consider using 3M Micropore tape or flange extenders to let the skin rest while healing.

6. **Application Technique**
- Warm the ring and wafer using body heat before placement. Cut the wafer hole close to the stoma, leaving a gap about the thickness of a dime.
- Hold the wafer firmly against the skin for 30-60 seconds.
- Use a flange-attached belt to support the seal while the skin heals, and consider wearing an external bandeau over it.

7. **Removal Technique**
- Use adhesive remover spray or wipes to avoid tearing fragile skin.

8. **Frequency of Change**
- Change the appliance more often, every 1-2 days, while the skin is damaged. Extend the wear time once the skin heals.

9. **Convex vs. Flat**
- Convex wafers can worsen leaks for some people. Switching back to a flat wafer with a built-up ring has solved the issue for several individuals.

10. **Miscellaneous Tips**
- Use M9 deodorant drops in the pouch to reduce odor.
- Photograph the stoma before appointments to avoid unnecessary appliance removal during consultations.
- Consider virtual visits with a different WOC nurse for fresh guidance and samples, as many companies now offer Zoom sessions.

The main focus is on healing the skin first with proper care, experimenting with different products, and using barrier spray only when it truly benefits adhesion and skin health.