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Jul 23, 2013

Struggling with Bag Adhesion in Hot Weather! Need Advice!

This topic is about dealing with ostomy bag adhesion problems during hot and humid weather. A person from England is experiencing issues with their wafer lifting due to sweating in the heat, which has led to leaks. They are seeking practical advice to keep their ostomy bag secure in such conditions. Here are some helpful suggestions:

1. Frame the wafer with supplemental tape:
- Consider using 3M Nexcare tape or 3M Microporous tape, which can be found at local pharmacies.
- Salts Secuplast HYDRO SECURITY STRIPS are available on prescription in the UK.

2. Use dedicated hydrocolloid "half-moon" or elastic strips:
- Coloplast Brava Elastic Barrier Strips can form a full collar around the wafer, extending wear time.
- Coloplast half-circle strips are available through stoma supply companies in the UK.

3. Barrier films and skin preparation:
- Apply Cavilon No-Sting Barrier Spray/Wipes to clean, dry skin to improve adhesion.
- Use Compound Tincture of Benzoin for a sticky, antiseptic layer, but be cautious as it can sting on broken skin.
- Stomahesive Protective Powder can be dusted lightly under the wafer for extra grip.

4. Choose products that tolerate heat and moisture better:
- Look for wafers with a larger adhesive area and consult with a stoma nurse for alternative options.
- Brands like Assura (Coloplast) and Dansac pouches are known to perform well in heat.

5. Extra sealing products:
- Stoma Seal discs/strips can provide a waterproof bond under and over the wafer.
- ReliaMed adhesive is another option reported by users in hot climates.

6. Application technique hints:
- Ensure the skin is thoroughly dry and cool before applying the wafer.
- Warm the wafer with hand pressure to help it bond better.
- Consider changing the wafer more frequently during heat waves or after heavy activity.

7. Removal and skin care:
- Use Appeel Medical Adhesive Remover Wipes for painless wafer removal and clean skin.

8. Cost and insurance notes:
- Be aware that some tapes may not be covered by insurance and can be expensive.

9. Miscellaneous tips:
- If tape irritates, try cutting security strips narrower or shorter.
- Check if wafers are from a faulty batch if adhesion issues suddenly arise.
- Keep in touch with your stoma nurse and supplier for free samples of alternative products suitable for hot weather.
See full discusison
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