Leaking Issues 3 Weeks Post-Ileostomy - Need Advice

I'm 3 weeks post-Ileostomy. Trouble with leaking under wafer at base of stoma. I think I'm cutting the wafer to fit closely and using the putty-like ring. And making sure wafer sticks well. Any suggestions?

How close are you cutting the wafer to the size of the stoma with no gaps? Making sure the skin is clean without using perfume or scent-based soaps, like Dial antibacterial, is what I will use once a week. The rest of the time, it's warm water. Making sure the skin is free of all adhesive remover, warming up the wafer before applying, and holding it in place once it's on to make sure you get a good seal. Keeping a little air in the bag so it's not vacuum-sealed closed around the stoma. And have you tried other brands as well to see if another one sticks better to your skin?

Hi Kimy, I am roughly 9 months post-surgery. I had frequent leaks the first few months while stoma size was evolving. Finally found that convex pouches worked much better for me than flat. Was happy when size became consistent, and I could start using precut. Like others suggested to me; make sure the area is clean and dry, use skin barrier liberally, powder just around the stoma, and place the sealing ring or paste around the opening edge of the flange first before fitting over the stoma. Hold firmly against the skin for a few minutes after installing. A belt or support belt helps me when active. Just suggestions. Don't be afraid to experiment and find a routine best for you. Confident you will work things out very quickly. Fish

Maybe take an anti-diarrheal medication prescribed by your doctor to see if that helps. But the underlying issue is finding the right fit. I have some weeks where nothing is wrong, and then sometimes I have leaks twice in a week after not having anything for three weeks. It's very hit or miss sometimes, and sometimes you just have to go with the punches. But I would talk to an ostomy nurse. It will get better. Hang on.

Three weeks post-op, your body is still adjusting to your new normal. Try different brands of wafer/bag. Try a two-piece system, one-piece system, barrier rings, or convex wafer. You have to find what works for you.

Is the skin around your stoma flat? Are there any skin creases or bulges?

When you remove a used wafer, look at the sealing area. Note where the leak was. Next time you remove a used wafer, see if the leak is in the same area. If so, you can stick a piece of moldable barrier ring on your skin in that area. Then install your new wafer.

You can also use a support belt. Hollister makes a thin, elastic belt that clips onto the bag flange.

Nu-Hope Corporation makes a wide variety of belts.

You can order belts from your ostomy supply company.

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Hi Kimy, welcome to the site. The info others have given is pretty much spot on. It's early on with your ostomy, and it will be more on the runny side and easier to get leaks until your system settles down. I try to use foods to thicken my output like peanut butter, applesauce, fruit smoothies. Also, I take one generic Imodium a day. I also sleep on my side opposite my stoma so as not to let the output pool around my stoma, causing leaks.

You should also consider a moldable barrier. I found the use of a moldable barrier along with a barrier ring underneath hugging the stoma works best for me. The following manufacturers make moldable barriers:

ConvaTec: https://www.convatec.com/ostomy-care/guide-to-ostomy-products/our-technologies/convatec-moldable-technology/

Hollister: https://www.hollister.com/en/products/Ostomy-Care-Products/Two-Piece-Pouching-Systems/Skin-Barriers/Flat-Skin-Barriers/New-Image-Flat-FormaFlex-Skin-Barrier

You should order free samples from each manufacturer to see how they work for you.

Try a convex bag with a ring. Maybe try to incorporate some foods that cause thick stool such as bananas, rice, etc., and stay away from acidic stuff like spaghetti sauce and carbonated drinks like Pepsi, Coke, etc.

Watch that you're not cutting the hole too small, as that will cause leaks, as well as cutting too large. A new stoma will change in size over time and also with weight gain or loss, so it's good to measure regularly.

Hand lotions, hair conditioners, and shampoos you want to keep away from your ostomy area as they will cause your bag not to stick well. Clean the area with soap such as Dial White or Ivory. Make sure all old adhesive is removed first with adhesive remover wipes and then clean the area well with soap and water, making sure to rinse away all adhesive remover, soap, etc. Rinse well and dry well before applying the new bag.

 

Use Coloplast elastic tape XL. Two halves catch leaks every time, and use Adapt rings. Leave more space when cutting; better still, factory cut. Me, 81, 2.5 years post-operation.