New Ostomy User Seeking Advice on Barrier Issues

Hi everyone.I am a newbie

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had my ostomy since Thanksgiving 09. The problem I am having is that when I attach my bag everything seems fine for a day or two then i will notice that there is fecal matter getting under the barrier and it seems to make the bag come loose.

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Haven't lost it yet but don't want to either.

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Most of the time it is on the top of the barrier on the bottom of the cut out hole. Does  anyone have any ideas on how to stop this problem. I am using a 1 pc.bag with adhesive paste. Thanks in advance.

Welcome to the madhouse



Just a question or 2,



1. when you cut the hole in the flange are you using the little measuring gauge that comes with them?



2 If so is your stoma in between the hole sizes.



if thats the case its better to cut it a little bit bigger and let the paste squash up and around the stoma for a good seal.



other wise maybe some of those gel rings that slide of the stoma in place of the glue, works for some but I have never had any success with them.



hope I'm helpful,, if not someone else will surely come along with more ideas,,



Cheers for now

Have you tried seals from Hollister or Dansac or even the new Dermacol from Salts? Have a look on the internet or speak with your stoma nurse and see if she can help you out with it. It is worth getting sorted!

we've all walked in these shoes, i think it's our hazing process.

i would recommend a possibly a wafer w/ convexity and the adapt rings from hollister. you can get samples from them. cutting the hole as close to the size w/ a just hair over is good thing. i would just tear off enough to make 2 small pieces and put them at the 3 & 9 o'clock position, right next the hole and then tear so more to fill in the rest. forget that glue, it's a pain. this method has proven to be a sucess for me. what i've realized is that what is good for one may not for another, trial an error. give it a shot, an e.t. nurse would really have some good ideas if some us can't help. oh, and welcome to our club....

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OSTOMATES RULE!!

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HANG IN THERE!!

I agree with Bag 110%!

I had the same problem with the one piece and when I went to the 2 piece, convex plus using the adapt convex ring on top of it, it works. I still have times that the poo gets under the wafer, (I have a retracted stoma) but this helped me so much!!



Good luck !!!  

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How to Manage Ostomy Leaks with LeeAnne Hayden | Hollister

Hi! Is your stoma flush or protruding? If it's flush, I hope you are using convex appliance, if you have flat appliance - add Adapt ring, and yes you can just add part of the ring, like at the bottom where it leaks. If your stoma protruding - make sure it doesn't touch skin right before you put pouch on - skin will get moist and pouch wouldn't seal. Now - paste! There is very few cases when paste is helpful, paste is not a glue, paste is a cocking and if you cutting pouch barrier right size, you should not need it. So, with a little more info, I should be able to give you an advise. Your stoma has individuality, just like you and once you figure out what exactly makes it feel better - you two will get to be good friends.

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i started using the eakin seal and never ever used paste again!! I use a hair dryer on low for about 30 seconds on the seal and then mold it around the stoma until it fits flush.  Always be sure that your skin is good and dry before applying. I was having a terrible time with paste until I discovered this and now---no leaks!!!  Hope this works for you.  By the way if you call edge park I think they will send samples!!  Good Luck!!!

I would like to add this to the conversation. For four years I put up with a lot of shit because of the way I was applying my appliance. then one day Baba told me about the hair dryer on the Adapt ring, since then I've had that bag so full of air and crap I thought it would surely burst, but nary a leak, I have left the flange on for up to seven days and just changed the pouch a couple of times. The biggest trick for me was taking a one inch wooden dowell and using a grinder tapered the end from one half to the one inch size. When I got to a perfect fit I marked the dowell and with the Adapt ring already warmed up from the hair dryer I just slid the ring to the size I needed and then made sure the skin and stoma were dry and it was like magic. Oh, but to have known this four years ago, no paste, no skin prep, no rolling out colopast strip. One more thing, after using remover wipe and drying you can wash all around the area where the flange touches skin, but its important to use a soap without any oils or perfumes. I hope this will give you some idea to start on. Just last week I noticed my thumb joint made a terrific size on the Adapt ring.

Don't be afraid to try different things, we're here to help. Ed

I have highest praise for Eakins seals.  I tear off a piece, roll itbetween my palms until it is about the length and thickness of acigarette (a slim one!), then I press it onto my baseplate, rightaround the inner opening, and then apply the baseplate.  I hold my palmthere firmly for several minutes, to let it start setting up a bond,then I carry on with my day.  The seal puffs up and surrounds the baseof the stoma like a turtleneck, and prevents any irritating fluid fromreaching my skin.  I have tried using just the barriers, without theEakin, but it never seems to do well.  The eakin tutleneck is like agasket between my skin and the wafer.  Without it, I seem to geterosion of the inner opening very quickly.

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I should have said, I did what Ed did and went with Baba's tip of the hairdryer, works like a charm! Gotta give credit where credit is due! lol  

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You give credit?? I'll take you hehehe

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yes!!! with low, low interest rates!!!  lmao

try eakin seals along with adapt paste.  Works well for me.

EUNPARK



What Baba says is right on. We all have different skin textures and dryness. What works for some will not work for all.

I went through dozens of combinations to get it right.

I never did get the paste to work well, regardless of the brand.

If you roll an inner seal of gasket by hand, make sure your hand is not oily at all. Wash and dry your hands before rolling.

Sit preparation is the name of the game. Shaved clean, oil-free, and dry. I used to use a hair dryer on high, but I protected my stoma with the other hand. Not too close.

Both Hollister and Covetec (Eakin) and others make seal rings.

This is the real deal not many know. The Eakin formula is the better of all of them against small intestinal enzymes. That is not to say the others will not work. If you have a disintegration problem like I had, Eakin is the ONLY one that worked. My intestinal enzymes would eat right through the seal and the wafer within hours. Then, of course, it thought my exposed skin around the stoma was a steak dinner!



I ended up using Convatec convex wafers with a single seal ring, 2-piece rig. I did use the Hollister 1-inch wide belt with it.

Just to help a little with added constant pressure. As far as I know, all of the bags of any manufacturer have ears to take a clip-on belt.



I never did find a combination that was truly "waterproof" as advertised. When wet, they all tended to lose some of the adhesion.



I also found in time using prepacked stoma wipes and/or paste removal wipe pads were adding to adhesion problems. I got where I could normally go 4 days on a change out. I always changed out every 3rd day, needed or not.



For me, Tincture of Benzoin worked around the stoma as a sealant for the skin.



I know several guys that have to stack the seal rings, some as many as 3 deep.



Do whatever you need to, to make things work. It might take you a while to find the right combination. Keep trying, you'll find one that you are confident with wearing.



Rick.....

Sold

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  well said Pete!

I've had my stoma for about 4 years now. In the beginning, problems, leakage, etc. Now, perfect. How?



Wipe all previous adhesives etc away with a good adhesive remover. Next, apply a thin layer of Karaya powder. Next,  wipe away Karaya powder with Allkare protective barrier wipe. Allow to dry. Then apply a ring of  stoma paste around the cutout section in a ring; allow to dry a minute. Then apply wafer and simply rub it round and round for about 1 minute. (The heat will secure the seal unless you want to try the hairdryer method which probably will work, but you can burn yourself.)



My wafer lasts a good 7 days with no leakage at all.  It's the barrier wipe that creates the necessary adhesion between the skin and the wafer and also protects the skin in case there is any small leakage.



Good luck.