This topic is about dealing with a bleeding stoma during jogging, which is caused by friction between the stoma and the pouch or skin barrier. After 16 years with an ileostomy, the person has started jogging to manage work stress but noticed blood in the pouch after each run. The issue seems to be the stoma rubbing against the pouch or barrier, and while enlarging the barrier opening helped reduce rubbing, it led to skin irritation from leakage. Here are some helpful tips and insights:

1. Make sure the barrier opening is the right size. If it's too tight, it can cause rubbing, and if it's too loose, it can lead to leakage and skin irritation.

2. Consider using a support garment or wrap to keep the appliance stable during exercise. Options include:
- Ostomy Secrets wraps, which are machine-washable and suitable for hot and humid conditions. They can be worn under everyday or formal clothing.
- Stealth Belt, which is another belt-style option.

3. A standard elastic ostomy belt clipped to the pouch can help reduce movement. Some runners also tuck the pouch upward and make sure to empty it immediately before jogging.

4. Protective rings or seals can create a flexible buffer. For example, the ConvaTec Eakin Cohesive Protective Seal, often called the "Eakin Seal," can be applied around the stoma before the wafer to help prevent friction and protect the skin.

5. If the problem continues, try experimenting with a different appliance brand or a softer faceplate. Consulting an experienced ostomy nurse for a fitting assessment might also be beneficial.

6. Consider switching to brisk walking or hiking, which can provide similar stress relief and fitness benefits with less appliance movement.

7. A custom DIY idea is to attach a curved aluminum or plastic strap inside a Stealth Belt using Velcro or rivets. This can hold the pouch away from the stoma during running, preventing direct contact while still allowing output flow.