This topic is about dealing with adhesive failures for those with an ileostomy, especially when gardening or exercising in warm weather. The person who raised the issue has their stoma located just below the waistline and experiences leaks when the adhesive loosens during these activities. They are seeking practical solutions to prevent this from happening. Here are some helpful suggestions and insights:

1. Correct Application Techniques
- After applying the barrier, press it firmly for 15-20 minutes. Some find it helpful to lie down and use the palm of their hand for this.
- Stretch the abdominal skin so the stoma protrudes before attaching the wafer to avoid creating skin folds.

2. Brand/Product Changes for Better Adhesion
- Coloplast one-piece and two-piece systems are noted for being more flexible and adhering better than some other brands, offering longer wear time.
- Coloplast Elastic Barrier Strips can be placed around the wafer edge to reinforce the seal and extend wear time.
- The Hollister Moderma FlexTend Convex Urostomy pouch is praised for not lifting at the edges, even after gardening.
- Switching from ConvaTec Stomahesive to ConvaTec Durahesive wafers has helped some users stop leaks related to bending.

3. Reinforcement Tapes & Accessories
- 3M NexCare flexible waterproof tape can be used to "frame" the wafer with four 3-inch strips, providing strong hold even during swimming or workouts.
- Keep standard extension strips handy for emergency reinforcement.
- Moldable E-rings or barrier rings can fill skin dimples created when bending, using either a full ring or small pieces at the 3 and 9 o’clock positions.

4. Batch/Manufacturing Issues
- Occasionally, there are "bad boxes" of barriers from brands like Hollister and ConvaTec. If you encounter this, note the lot number and contact the company for free replacements.
- Variability in product quality can sometimes explain sudden short wear times, unrelated to weather or activity.

5. Managing Heat, Sweat, and Motion
- Expect some reduction in wear time during hot weather and plan bag changes around heavy gardening days.
- Use a reach-assist "grabber" tool to minimize repetitive bending if leaks are related to flexing.
- A homemade hernia belt or snug support garment can help keep the wafer secure if the adhesive starts to fail.

6. Alternative Management Strategies
- For those with a colostomy, irrigation might allow wearing only a stoma cap or bandage during the day, reducing concerns about adhesive in the heat. This may not be suitable for an ileostomy.

7. General Reminders
- Ensure the skin is clean, dry, and free of lotion or powder, except for prescribed stoma powder.
- Monitor the skin around the stoma frequently and change the appliance promptly at the first sign of itching or seepage to prevent skin damage.