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Feb 19, 2016

Best ostomy products for overweight individuals?

This topic is about finding the best ostomy products and techniques for individuals who are overweight and experiencing issues like leaks and skin irritation. Here are some helpful suggestions and insights:

1. Consider switching to the Hollister New Image two-piece system, which includes a "floating" skin barrier and a closed pouch with a filter. Use Stomahesive paste under the wafer and cover any rippled edges with Hypafix tape to prevent seepage.

2. Hypafix tape is latex-free, water-resistant, and gentle on the skin. It comes in various widths, allowing you to cut strips that fit the wafer edge perfectly.

3. It might be beneficial to have a refresher session with a stoma or ET nurse to review fitting techniques for a non-flat belly. Using a barrier cream can help while the skin heals, as rashes are often caused by leaks rather than latex allergies.

4. To control skin irritation, try dabbing calamine lotion on the skin around the stoma before applying the wafer. Many people find this helps reduce redness and itching.

5. Consider trying Convatec’s two-piece moldable wafers, which are also available in a convex shape, along with an Eakin ring. After showering, pat the area dry and use a hair-dryer to ensure it is completely dry. Apply a skin-barrier wipe and let it become tacky before placing the Eakin ring and molding the wafer. Warm it with a dryer or your hand for about 2 minutes, then attach the pouch. An ostomy belt can help maintain gentle pressure, especially for larger abdomens and when rinsing the pouch. Users report up to 7 days of wear time without leaks.

6. Explore alternative wafers like Coloplast FlexPro flanges and NuHope systems. You can request free samples from manufacturers or suppliers to try them out.

7. If you prefer using paste or powder, Convatec Stomahesive paste or powder can fill gaps around the stoma to prevent seepage.

8. Consider reducing or eliminating pouch rinsing, as water inside the pouch can lead to leaks. Modern disposable pouches can be worn for several days without needing to be washed out.

9. For soothing irritated skin, try dabbing Milk of Magnesia on the affected area and letting it dry. This can form a protective layer and calm any blistering.

10. When cleansing, avoid using soaps where the wafer adheres. Instead, wash that area with warm water only to prevent any residue that might weaken adhesion.
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