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Apr 15, 2014

Leak Troubles - Need Support

This topic is about dealing with recurring night-time leaks from an ostomy pouch, which can be quite distressing. The person experiencing this issue is looking for support and practical solutions to manage these leaks better. Here are some helpful suggestions and insights shared by the community:

1. Protect the bed and surroundings:
- Use a leak-proof mattress pad or a plastic mattress cover, and consider a smaller travel pad for extra protection.
- Place an inexpensive shower curtain or a doubled-over sheet between the mattress and fitted sheet. Leather furniture is also easy to clean.
- Keep a towel and wet wipes by the bed to use while heading to the bathroom. Some people find adult diapers helpful at night.

2. Strengthen the seal:
- Use tapes like white linen tape, “Strappal”, 3M Medipore, Coloplast Brava Elastic Tape, or Sure Seals.
- Try adhesives or primers such as Torbot Skin-Tac liquid or Coloplast Brava paste.
- Consider barrier rings and seals like Eakin seals or Hollister moldable barrier rings.
- Convex options can help, such as Coloplast Assura Convex or Hollister convex drainable pouches.
- Make sure the wafer opening matches the current stoma size accurately.
- Warm the flange with a heating pad for a few minutes after application for a tighter bond.
- Clean the skin with plain water only, avoiding soap, oils, or lotions, and let it dry completely before applying the appliance.

3. Belts, guards, and support garments:
- A Stealth Belt can hold the pouch snugly for active users.
- Standard ostomy belts, stoma guards, or Ostomy Armor can add security, especially with convex wafers.

4. Emptying and sleeping habits:
- Empty the pouch every 4 hours and right before bed. Side-sleeping can help keep output moving away from the seal.
- Some people set alarms or rely on pets to wake up and check the pouch. Lightly running a hand around the seal can help detect dampness.

5. Output and diet adjustments:
- Reduce evening intake, eating little or no food after 5 p.m., and add light fiber if needed.
- Thicken output with marshmallows or jelly sweets.
- For gas that loosens the seal, two Pepto-Bismol tablets at bedtime may help.
- Drink water when you empty at night to encourage bathroom visits that double as leak checks.

6. Activity and sweat management:
- Heavy sweating can affect adhesion. Tapes like Sure Seals or Brava Elastic Tape can stay put during sports and swimming.

7. Product sources and samples:
- Request samples directly from manufacturers like Coloplast, Hollister, and Convatec.
- Websites like Edgepark.com and themedicalsupplystore.ca offer various products.

8. Record-keeping and troubleshooting:
- Keep track of leak frequency, time, diet, activity, appliance age, and type of failure to identify patterns.
- Check the coupling for residue that might prevent a full “click” on two-piece systems.

9. Emotional and peer support:
- Seek mentoring from an experienced ostomate or join a local ostomy association or club. Hospitals or WOCNs can provide contacts.
- Online resources like theamericanostomyclub.com offer tips and problem-solving guides.

These suggestions aim to help manage night-time leaks more effectively, providing both practical solutions and emotional support.
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