The benefits of using paste over rings

Rings for ileostomies work great as long as the skin is clean, smooth and free of defects, dips and wounds.

But it seems once problems develop paste comes to the rescue.

Paste has the ability to address wounds better because one can put a thin coating of pre-paste on the wounds first to check if adhesion is going to occur, without wasting everything else. After a successful thin coating is applied around the stoma, then a thicker coating placed on top to marry to the wafer.

The drawbacks of paste is the possibility of covering the stoma with  paste when pressing on the wafer. This can cause a clog to occur with thicker material backing up and causing a pancaking like bubble which eventually forces its way under the paste and leaks.

With a two piece this isn't so much of a problem as one can simply remove the excessive paste, clearing the stoma.

However with a one piece, it's a bit more tricky. So after the thin pre-paste layer is applied. One should use the paste tube nozzle about 1/8-1/4" above the skin and press out a flat ring around the stoma followed by either another ring outside that one depending how much fill they need to match the wafer. This way not too much paste too close to the stoma.

Also if a lot of paste is used, it takes a lot more time to set up and harden..thus a quick slap with too much paste and then going vertical can cause it to ooze out and cause a leak. Why I now always put a wafer on while laying down on my back with a quiet stoma and taking a long nap to ensure the paste sets in place.

So paste is more versatile, but more tricky to use and easier to screw up with.

Once my small leak wound is healed, I'm going to try experimenting with using a ring over the thin pre-paste coating as that will prevent blocking of the stoma by accident.

So is my assessment in line with general opinion?

What is your take on the subject?

In my experience with leaking and unfortunately I have had a lot and with a lot of different stomas. The output will run through paste if you leak, the output eats it away like crazy, takes way to long to sit and dry and the ones with alcohol in it will dry much quicker but one burns like crazy and two can't put in broken skin. I personally wouldn't use paste and then a barrier ring now your creating to much height and it's taking away length of your stoma which in turn will cause more leaking. Putting paste on the top of the barrier one won't do much as your output hits and eats away and to now you just have a clogged mess mixed with output. Especially when it can be a good. Using a liquid skin protectant which is design to protect the skin from aggressive output and urine as well puts a layer over the skin ( and nothing like these darn skin protectant wipes which don't do much of anything) and especially helpful when the skin is red , your ring or paste will stick to the liquid skin protectant and then using a ring or in my experience strip paste over reg paste.