This topic is about managing a challenging situation with a loop ileostomy that has retracted, causing discomfort and skin irritation. The person is looking for solutions to improve the fit and comfort of their ostomy system, as well as ways to protect their skin. Here are some helpful suggestions and insights:

- Consult with a Wound-Ostomy-Continence (WOC) nurse for personalized fitting and product recommendations.
- Consider using an Eakin Seal from Convatec instead of Stomahesive paste for a better seal. Continue using the "crusting" technique with Cavilon film and powder to protect the skin.
- For a nearly flat stoma, you might skip using any rings or paste, as they can add thickness. Instead, use a good convex flange and belt to apply direct pressure. Aim for a wear time of 3–4 days and change before leaks occur to maintain healthy skin.
- If the Cavilon spray causes irritation, try a different skin prep, such as Coloplast skin prep wipes or Smith & Nephew barrier wipes, which some users find more tolerable.
- Consider products that stay thin and adhere well to difficult stomas, like the Coloplast SenSura Mio system, available in both one-piece and two-piece options with a convex version.
- Empty the pouch frequently to prevent it from becoming too full, which can cause output to leak under the wafer and potentially back-flow.
- Discuss with your surgeon the possibility of using a protective membrane wrap during your upcoming surgery to reduce the risk of future adhesions.
- Keep experimenting with different combinations of wafers, barriers, and belts. Many people find success through trial and error, so don't hesitate to try various options until you find what works best for you.