This topic is about a new ileostomy patient who is experiencing some challenges just 10 days after surgery. She had a leak after using a barrier ring under the flange, which was a new experience for her. Feeling overwhelmed and living alone, she is unsure about whether to continue using the ring and is having second thoughts about the surgery. Here are some helpful tips and advice for her situation:

1. Early Healing Considerations
- At this early stage, the stoma is still swollen. It's important to measure the stoma at each change because the opening size on the wafer will need to adjust as the swelling decreases.
- It may take several weeks to find a routine that works. While leaks can happen, they are not something you should expect long-term.

2. Purpose and Choice of Barrier Rings/Seals
- Barrier rings, like Eakin Cohesive Seals or Hollister Adapt Barrier Rings, act as a gasket under the flange and can often extend the wear time. Some users find that the Eakin Ring can double the wear time.
- It's a good idea to experiment. Some people find they need a ring, while others do well without one. Trial and error will help determine what works best for your body.

3. Skin Preparation Before Applying the Wafer
- Clean the skin with plain warm water or an oil-free, unscented soap. Avoid any oily residue as it can prevent adhesion.
- Do not use lotions or creams on the area where the wafer will be applied.
- Make sure the skin is thoroughly dry. Some people use a small fan to ensure the skin is completely dry and to soothe the area.
- Apply a skin-prep or barrier wipe/spray to protect the skin and improve the flange's adhesion. Allow it to dry completely.

4. Application Tips for Extra Security
- After applying the wafer, you can add medical tape around the edges for extra protection, especially overnight or during activities.
- Gently press around the stoma and the edge of the wafer for 1–2 minutes to warm and set the adhesive.

5. Diet While Adapting
- Temporarily avoid high-fiber foods. Eat small, frequent meals and stop before feeling full to help reduce high-volume output that can affect the seal.

6. Emotional and Practical Support
- Leaks can be distressing, but they are solvable. Many people live active lives with ostomies. Keep asking questions, seek assistance when needed, and connect with experienced ostomates for practical tips and support.