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Nov 30, 2014

Desperate for Ostomy Leaking Solutions

This topic is about an ostomate who has been managing their ostomy for five years but is now facing sudden and severe leakage issues. This problem is causing skin irritation, a rapid depletion of supplies, and a significant impact on their quality of life. The person is seeking immediate solutions from the community to address these challenges. Here are some helpful suggestions and insights:

1. Identify recent changes and possible causes:
- Consider any recent weight changes, climate differences, increased activity, or alterations in your usual routine.
- Check if there are any defects in the latest batch of supplies that might affect adhesion.
- Ensure that the pouch and flange are completely snapped together, as an incomplete click can lead to leaks.

2. Optimize skin preparation:
- Thoroughly clean and dry the skin, then use Coloplast Ostomy Powder and a skin-barrier wipe like 3M Cavilon to create a protective crust. This can improve adhesion and reduce irritation.
- Allow any reddened skin to heal before expecting the usual wear time.

3. Evaluate equipment and configurations:
- Try a different pouching system, such as switching from a two-piece to a one-piece system, to see if it improves wear time.
- If there is a bulge or parastomal hernia, a flat flange may not fit well anymore. Consider using convex wafers and reinforcing with perimeter tape to better fit the body's contours.

4. Reinforce the seal:
- Use medical "pink tape" or paper surgical tape around the flange edge for added security. Alternate tapes to allow the skin to breathe.

5. Seek professional and manufacturer support:
- Contact the supply company’s product specialist for replacement samples, alternative system suggestions, and help with fit issues.
- Schedule an appointment with a wound-ostomy nurse (WOCN) to evaluate the stoma size, skin condition, and check for any hernias.

6. Additional resources:
- Explore practical leak-prevention tips and tutorials available at http://www.ostomysupport.info/ostomynetworkwindsor/common.html for more guidance.
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