Managing an ostomy during the colder months can present some unique challenges, especially when it comes to keeping the wafer securely in place. The cold, dry air can make the skin beneath the wafer too dry, leading to adhesion problems. Here are some practical tips to help improve wafer adhesion during winter:

1. Consider using a skin prep or barrier film. Some options include Smith & Nephew Skin Prep (available in both "sting" and "non-sting" versions) and 3M Cavilon No Sting Barrier Film.

2. Stay hydrated. Increasing your fluid intake can help prevent dehydration, which can affect both your skin and ostomy output.

3. Warm the appliance before applying it. You can hold the wafer or pouch on a radiator or use a hair dryer to bring it to body temperature before application.

4. Use heat after applying the wafer. Cover the pouch flange with your hand and use a hair dryer on low for 30 seconds to 5 minutes to improve bonding.

5. Apply a thin layer of ostomy paste or putty ring. Use only a dime-thick bead around the stoma, as too much paste can reduce adhesion.

6. Try the powder-film "crusting" technique for irritated or flaky skin. Dust with CardinalHealth Essentials Protective Powder or Hollister Skin Powder, pat with Cavilon film to form a pasty layer, and repeat if needed before placing the wafer.

7. Consider alternating adhesives or changing your product line. You can request free winter-use samples from companies like ConvaTec, Hollister, or Coloplast. Some users find that ConvaTec Stomahesive or ConvaTec Moldable 2-piece wafers adhere better in cold weather. Switching to a different flange between summer and winter might also help.

8. Follow a good skin cleansing routine. Wash the peri-stomal skin with hot water, then rinse with cold water to close the pores. Avoid leaving soap residues and moisturizers under the wafer. One method is to lightly soap a damp Bounty paper towel, wipe, pat dry, and then proceed with barrier film and powders.

9. Take care of your skin in general. Avoid applying moisturizers under the wafer, but use them elsewhere to manage overall dry skin. If you have skin ulcers or blisters, manage them with stoma adhesive powder before placing the wafer.