This topic is about dealing with a challenging situation where the flange, which is part of an ostomy appliance, is not sticking properly, and there is a persistent odor due to a retracted stoma. The person experiencing this issue has tried various products and methods without success and is seeking advice on how to manage these problems effectively. Here are some helpful insights and advice shared by others:
1. Odor Control:
- Try Na’Scent pouch deodorant, which has worked for several users. You can get free samples from the manufacturer’s website.
- Nullo chlorophyll tablets can help eliminate odor after about three days. Start with half a tablet twice daily to avoid cramping.
- Consider reviewing your diet for foods that might increase odor, such as eggs, garlic, onions, and certain sodas.
- Drinking pickle juice or cranberry juice daily might help balance body chemistry and reduce odor.
2. Improving Adhesion and Wear Time:
- Skin-Tac adhesive wipes or liquid, available on Amazon, can significantly increase wear time. Apply a thin layer to the skin around the stoma or the edge of the wafer.
- Ensure your skin is completely dry before applying the flange. Pat dry, use a warm (not hot) hair-dryer, and then warm the wafer and hold it firmly in place for about 10 minutes.
- Use a soap that is free of oils and fragrance, and avoid lotions before applying the flange.
- If your skin is moist or prone to yeast, apply an antifungal powder like Miconazole Nitrate, then “crust” it with a Convatec barrier wipe.
- A medical adhesive spray over the wafer after it is applied can add extra security.
3. Barrier Products and Systems:
- Some users have found success with the Coloplast Assura convex wafer plus Coloplast strip paste around the opening, with Skin-Tac on the wafer edge, achieving a 4-day wear time.
- The Eakin Pelican one-piece convex drainable pouch, combined with a Hollister seal, has been reported to never leak over 18 months.
- Using a larger wafer and pouch has helped some users prevent edge lifting.
4. Accessory Techniques:
- An Eakin ring alone can double the wear time for many people.
- An ostomy belt or a maternity “B-band” can support the pouch, especially if it sits below the waistline.
- Try to minimize sweating, bending, and stretching immediately after changing the appliance. Some people find sitting in a recliner helps keep the abdomen relaxed.
- Stress can worsen these issues, so staying calm during changes is beneficial.
5. Miscellaneous Tips:
- Warm the wafer and your skin with a hair-dryer on low to improve the initial tack.
- If leaks continue, consider holding off on eating before outings to reduce output volume as a short-term strategy.
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