Topic Explanation:
The forum topic is about a person seeking advice for ostomy leaks during sleep. They are concerned that their stoma doesn't come out far enough to clear the hole when they sleep, leading to leaks.

Advice and Insights:
- Consider using a convex flange to aid in the case of a short stoma.
- Use stoma adhesive powder and paste around the opening of the wafer for better adhesion.
- Clean the skin around the stoma with hot water, then cold water, and use a prep wipe to remove any lingering body oil/moisture.
- Consider using a moldable flange that forms a collar around the stoma, providing better leak protection.
- Place a soft pillow lengthwise down the middle of the bed to help with sleeping positions and avoid pressure on the stoma.
- Avoid eating too late in the evening as it can exacerbate concerns with leaks.
- Have the stoma and appliance examined for the best fit.
- Consider using tube paste around the ring and stick paste in the belly button to level it up for better adhesion.
- Weight gain can also improve adhesion for some individuals.