Managing night-time ostomy leaks can be a bit challenging, especially if your stoma is short or flush with the skin. If you're experiencing leaks while you sleep, here are some helpful tips and advice from others who have been in the same situation:

1. Try using a convex flange or wafer. Many people find that the gentle pressure from a convex baseplate helps the stoma project into the pouch, preventing leaks.

2. Reinforce the seal:
- Dust the skin around your stoma with stoma adhesive powder, tap off the excess, and then apply paste or an Eakin-type seal around the wafer opening.
- Use paste around the ring, and if the flange overlaps your navel, fill the belly button with stick paste to create a smooth surface.

3. Pay attention to skin preparation and cleaning:
- Clean the area with warm water only, avoiding soap or shampoo under the wafer to prevent residue. Finish with cold water to close the pores.
- Use a skin-prep wipe to remove any remaining oils and moisture before attaching your appliance.

4. Consider moldable technology. Some people have had success with Convatec 2-piece Moldable Technology flanges, which stretch to fit snugly around the stoma, minimizing leaks.

5. Adjust your sleep positioning:
- Place a soft pillow lengthwise beside you and sleep on your right side facing the pillow, allowing the pouch to hang freely. Use the pillow as back support when rolling to the left side.
- Avoid sleeping flat on your stomach if it compresses the pouch.

6. Be mindful of output timing and diet. Try not to eat late in the evening, as increased night-time output can overwhelm the seal.

7. Consider a professional check-up. Arrange an assessment with an ET/WOC nurse to ensure your appliance fits well and your stoma shape is appropriate.

8. Remember that body changes matter. Adhesion often improves after regaining lost weight, as firmer tissue can better support the wafer.

These tips might help you manage those pesky night-time leaks and get a better night's sleep.