This topic is about finding effective solutions for managing chronic leakage and limited wear-time of ostomy wafers, particularly for someone with an ileostomy who travels frequently for work. They are considering using the Salts Stoma Collar but are concerned about its cost and insurance coverage. Here are some helpful suggestions and insights:

1. Consider trying a convex version of your current flange or wafer, as convexity can often improve the seal for ileostomies.

2. If the skin around your stoma is uneven or has low spots, use an Eakin Cohesive Ring, or even half a ring, to fill in those areas before applying the wafer.

3. Continue using an ostomy belt. A comfortable option is the Hollister belt, which can be worn continuously if needed. Make sure to position the hooks outward so the belt lies flat.

4. Many users have found better results with Eakin Slim Rings compared to Salts O Seals or wax rings. These rings are easier to mold, adhere firmly, reduce leaks, and can allow for a wear-time of up to three days. Flatten the outer edge of the Eakin Slim so it is wafer-thin before applying.

5. A detailed application routine that has helped others stop leaks includes:
- Remove the pouch and wipe off any residue.
- Rinse with a wipe in hot water and repeat.
- Use an adhesive-removing wipe over the wafer area, shave if needed, rinse with clean water, and air-dry or use a warm hand.
- Dust irritated skin with Hollister Adapt Powder if necessary.
- Apply a molded Eakin Slim Ring snugly around the stoma, ensuring no exposed skin inside the ring, then apply a Hollister convex pouch leaving about ⅛-inch clearance.

6. Imodium (loperamide) can help thicken output but may worsen pancaking and dislodge the wafer. Some users find it helpful to cut back to occasional doses, only using it when the output is extremely watery.

7. Feedback on the Salts Stoma Collar suggests that while the concept is good, the collars may not work well if the stoma retracts to skin level or if the peristomal skin is uneven. Its effectiveness depends on having a consistently protruding stoma.