Hi tine... I can ony say to you that the following works well for me... stomach curvature may have some bearing on how well the seal makes up and holds.. I use a regular wafer, not a curved one...but my tummy isn,t flat either... those days are well past lol.. hope this helps. However I agree, do see your DR. to get your skin healty.
Changing a wafer....
Thought it might be helpful to explain how I approach changing a wafer as it seems much simpler than many I have read about or had discussions with... Mine Is an illiostomy...lots of liquid with the usual stomach acids so if it gets to the skin it can be pretty irritating...as it is I have had an illiostomy for 11 months with no stoma skin related problems.. I will qualify it and say though, that it can itch at times especially around the outside of the wafer and it is hard to resist scratching... also by the 5 th to 7 th day it usually itches under the wafer...ie time to change it.
General Overview: 2 piece Coloplast, Stoma 1.5 inches below the belt line, wear braces no stoma belt, use Coloplast shaving powder, baby wipes, toilet paper, Coloplast strip paste 2655, Cavilon barrier Film ( Spray). 3M 1 in. Transpore tape.
Result : good fit, occasional leakage but hardy any and no skin irritation.
Procedure:
1. Take shower don't worry about wafer getting wet, remove if you wish prior to shower
2. Prepare wafer cut (size) stoma hole to within 1 MM of the stoma size
3. Take 5 to 6 CM of paste, role between hands to about 10 CM in length. The shape is important to proper sealing?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /o:p/o:p
4. Run the rolled paste strip around the inside hole of the wafer...close as possible. The paste MUST fill any small voids between the stoma and edge of the wafer as well as create a 5 to 6 MM seal between the skin and wafer
5. Remove wafer and bago:p/o:p
6. Clean stoma and area thoroughly with toilet paper or wet facecloth and baby wipes
7. Apply shaving powder, shave ,remove thoroughly any residual powder, and snip away any remaining hairs close to stoma ( BE CAREFULL )
8. Wipe with baby wipes and dry with face cloth or toilet paper
9. Spray area with barrier film, or use a barrier film wipeo:p/o:p
10.Attach prepared wafer around stoma and with little finger compress the area around the stoma to set the paste ie. To drive it between stoma and edge of wafer. Attach bag
11.Pull on pants so that the pressure of the pants, and body heat, on the new wafer bag will help spread the paste and ensure the seal.
12.If the edges of the wafer is or becomes loose from the skin , apply the 3M tape.
13.Always tape the top and sides of the wafer before a shower ( if not changing wafer), remove after a shower and dry surrounding surface.
Process takes about 15 minutes...and has worked so well that I seriously am considering not having a reversal !!!!! If you have any questions feel free to ask..
o:p /o:p