This topic is about finding ways to keep a two-piece colostomy appliance secure, especially when dealing with heavy sweating and waistbands that can lift the wafer. The person sharing their experience has a permanent colostomy and prefers using a two-piece system. However, they face challenges with the adhesive loosening due to sweat and movement, leading to leaks. They are looking for solutions to prevent sweat from undermining the wafer or to reinforce the coupling without giving up their preferred system.

Here are some helpful tips and advice:

1. General Skin Preparation & Sweat Control
- Dust the skin around the stoma with stoma/ostomy adhesive powder to absorb moisture. Ensure the skin is free of oil and soap, shave the area, and clean with hot and then cold water.
- Consider using an unscented antiperspirant on the skin before applying the wafer, but consult with a stoma nurse first.
- Use products like Skin-Tac, Osto-Bond liquid adhesive, or Torbot waterproof adhesive for extra stickiness. Mastisol spray or 3M medical spray adhesive can provide a strong hold but may be difficult to remove.
- Avoid soap residue. Some people use Vaseline Cocoa Butter Moisturizer while shaving or cleaning because it rinses away cleanly.

2. Strips, Rings & Tapes for Reinforcement
- Coloplast Brava Elastic Barrier Strips are frequently recommended for dealing with sweat and movement.
- Sure-Seal Rings provide a clear film that seals completely around the flange.
- Duoderm CGF squares or ovals can be cut into strips and placed under the wafer edges.
- Eakin Cohesive Seals or rings, ConvaTec Durahesive moldable wafers with Eakin seal, and Coloplast paste or stoma paste can help fill uneven skin and prevent undermining.
- Use waterproof tape to "picture-frame" the wafer, such as 3M Tegaderm, Strappal medical tape, or Hytape. Some even use white duct tape, though caution is advised to avoid skin trauma.
- Coloplast half-circle cloth-like strips and Brava half-moons can provide extra edge security.

3. Alternative Wafers / Systems
- Consider extended wear wafers for heavy output and sweat, like Coloplast Sensura Extended Wear, Hollister Extended Wear, or ConvaTec Durahesive moldable.
- Regular-wear Coloplast wafers may absorb more moisture and last longer on sweaty skin for some people.
- Cymed MicroSkin flexible flanges or Coloplast SenSura Mio 2-piece with a locking ring might be suitable alternatives.
- Some users find that one-piece Hollister systems combined with an Eakin seal eliminate pouch-to-flange separation.

4. Belts, Guards & Garments
- Use standard ostomy belts that clip to the wafer "ears."
- Nu-Hope hernia/support belts can protect, support, and help prevent hernias.
- A Stoma Guard from Ostomy Solutions can stop pant waist pressure and prevent pancaking.
- Waist wraps or support underwear from OstomySecrets.com can keep the appliance flat under clothes.
- Wearing bib overalls or turning the pouch sideways can temporarily reduce waistband contact.

5. Cooling & Workload Strategies
- "Cool Wafers" gel pack sleeves can keep the wafer area cool during outdoor activities.
- If engaging in heavy labor or running, consider changing the wafer daily if needed and request a higher monthly supply allowance.

6. Irrigation Option (for Colostomies)
- Some suggest learning colostomy irrigation, which can empty the bowel every 24–48 hours, virtually eliminating daytime output and greatly reducing leakage risk. This is not suitable for ileostomies.

7. Miscellaneous Tips
- Hold your hand over the wafer for 60 seconds after applying to activate heat-set adhesives.
- Carry a small roll of tape like Hytape or Tegaderm for quick mid-day patching.
- Turn the bag clip away from the waistband, use a sports bra, large Duoderm, or a reusable flange with Skin-Tac to save supplies.
- If repeated leaks are caused by a hernia or wafer shape, consult an ostomy nurse for a custom fitting.