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Apr 09, 2016

Need help with left-sided colostomy appliance leakage

This topic is about managing leakage issues with a new left-sided colostomy appliance. The person has recently switched from a right-sided to a left-sided colostomy and is experiencing problems with leaks and short wear-time of the appliance. They are looking for practical solutions to address these issues.

Here are some helpful tips and insights:

1. Skin Preparation and Health
- Use a non-oily, perfume-free soap like yellow Dial to wash the skin. Ensure the skin is healed, dry, and not weepy before attaching the barrier.
- If the skin is irritated, consider applying Calamine lotion, "butt paste/cream," or a prescribed Nystatin powder. Use the crusting method with Cavilon barrier film and stoma powder for added protection.

2. Heat to Improve Adhesion
- After applying the pouch and wafer, warm the wafer for about 30 seconds with a hair-dryer or by cupping your hand over it. This helps soften the adhesive and improve the seal.
- Some people find it helpful to lie flat for several minutes after applying the system to avoid disturbing the seal.

3. Order Samples or Change Brands
- Different adhesives work better for different skin types. If the current brand isn't working, request samples from other manufacturers.

4. Adhesive Products and Techniques
- Torbot Latex Adhesive Cement is known to provide a leak-free hold, even during activities like sweating or swimming.
- A sequence that works for many: spread ostomy paste around the stoma, mold an O-ring or Eakin ring onto the barrier opening, then apply the barrier. This can provide 4–5 days of wear with minimal leaks.
- If an Eakin ring shifts, dust stoma powder around the flange opening to reseal.

5. Seal Reinforcement Products
- Sure Seal Rings are clear, breathable overlays that can be applied on top of a two-piece barrier. They are waterproof, hold the barrier firmly, and can be removed easily without adhesive remover.

6. Belts, Wraps, and Support Garments
- A wide, flange-mounted ostomy belt from NU-Hope can prevent wafer lift-off more effectively than thin belts that clip to pouch tabs.
- Elastic belts or homemade gadgets that apply even pressure over the wafer can help hold it in place until the adhesive sets.

7. General Tips
- Keep experimenting, as body contours, perspiration, and activity levels vary from person to person.
- Maintain good nutrition to aid energy recovery. Many people log their food intake and use homemade vegetable or protein drinks to support healing.
- For more detailed discussions, consider joining the Ostomy group at Inspire.com for additional support and advice.
See full discusison
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