This topic is about finding solutions to prevent leakage from a recessed stoma that is located in an abdominal crease. The caregiver is looking after their mother and is facing challenges with the current ostomy system, which is not effectively preventing leaks. Here are some helpful suggestions and insights shared by others who have faced similar issues:

1. Consider switching to a deep convex system for recessed or flush stomas. Some recommended products include:
- Coloplast Sensura Mio Deep Convex (available in one-piece and two-piece options)
- Convatec Deep Convex pouches with moldable technology
- Hollister one-piece convex and Hollister deep convex oval rings

2. Fill in any creases or dips before applying the wafer to ensure a better seal:
- Use half or shaped pieces of barrier rings like Hollister barrier ring, Eakin cohesive seal, or Adapt CeraRing
- Try Coloplast Brava Strip Paste, Brava Rings, or Brava Protective Ring 12035
- Apply ostomy paste or putty around the outer edge of the wafer
- Use Brava half-moon strips or medical tape over problem edges for extra security

3. Many users find that Coloplast Brava Protective Rings (product 12035) perform better than moldable rings under convex wafers because they swell less.

4. For skin care and application:
- Warm the wafer and rings with a hair dryer, press them firmly, and allow time for proper adhesion
- Change frequency varies; every other day might help irritated skin to dry and heal
- Ensure the skin is thoroughly prepped and dry before application

5. To manage output:
- To soften overly thick stool, increase fluid intake and try apple, grape, or prune juice, applesauce, or stool softeners like Docusate Sodium three times daily
- Reduce constipating medications if possible
- Some find that overly liquid output can worsen leaks; experimenting with foods like pretzels with applesauce or marshmallows might help achieve a pasty consistency that is easier to manage

6. Additional tips:
- Experiment with both one-piece and two-piece convex systems, as results can vary
- Request free samples from manufacturers to find the best fit
- If local nurses lack experience, seek help from a specialized wound/ostomy center and use online resources and YouTube demonstrations to improve techniques.