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Dec 08, 2015

Need advice on wider belt for ostomy pouch support

This topic is about finding a supportive belt for ostomy pouches to prevent issues like pouch drag and stomal leakage. A new ostomate is experiencing problems with their pouch dragging and swinging as it fills, which is causing discomfort and potential leakage. They are looking for advice on whether a wider belt would be more comfortable and effective than the standard narrow belt they are currently using.

Here are some helpful insights and advice:

1. Narrow Clip-On Belts:
- Many users find that the thin Hollister belt provides adequate support and becomes unnoticeable over time.
- Tips for use: Wear the pouch straight down to minimize swinging, empty or change the pouch before it gets too heavy, and consider consulting a Wound, Ostomy, and Continence Nurse (WOCN) for proper fitting.

2. Alternative Wider or Specialty Belts:
- Stealth Belt: Offers a soft, wider wrap that doesn't fold over, providing good support and comfort. Available in specific flange sizes.
- Ostomy Armour: Features a hard faceplate for protection against hernias and trauma, keeping the bag stable. Comes with a wider, more comfortable belt.
- Nu-Hope Hernia Support Belts: Designed to support parastomal hernias. The company customizes belts, and most insurers cover two per year. Adjustments or a second belt can be requested after a few weeks of use.

3. Surgical Option:
- One person had surgery to flatten the raised area around the stoma after chemotherapy, which eliminated the need for a belt.

4. General Recommendations:
- Consider belts with built-in stoma protectors or wrap-around designs if simple tab belts are not sufficient.
- Use Google image searches or supplier catalogs to find suitable belt styles.
- Engage a WOCN or stoma nurse for personalized fitting and product suggestions.
See full discusison
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