Hollister two-piece, appliance & leaking help

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dietcoke
Regular Member


Date Joined Jul 2008
Total Posts : 186
   Posted 1/1/2013 9:12 PM (GMT -6)   
I use the Hollister two piece new image system, and have for about a month. I started with the coloplast sensura system, but had to change because of a bad skin irritation.

I dont think I am having better luck with this Hollister two piece. I use use just the two pieces, nothing else. I know you all talk about all of these products, but I am not familiar with them at this point. If you're familiar with this hollister system, it has a bottom piece that you stick onto your skin. Then, for the bag part, you peel away this waxy stuff to make a mold around your stoma, which is supposed to adhere to your stoma. You attach this top piece to the bottom piece via a snap closure. Well, since using this system, I've had a few holes in the bags, one leak that seemed to leak underneath the skin adhesive and the plastic snap part, but worst of all, I woke up this morning to find that my bag literally popped off during the night, and, needless to say, the bed wasn't pretty, and neither were my husband and me. Great way to start the new year!!!

What am I doing wrong? I am not really a restless sleeper, but I did eat more than normal last night. Are there other pieces I should be using? I'm sick of changing appliances, but sicker of cleaning up nasty smelly messes!!! Yes, I am seeing my stoma nurse soon, but in the interim, does anyone have advice?

Ps, I am going back to work tomorrow, yuck, and I do not want this to happen there!!!

Thanks for your help, as I am still new to this!

Debbie
43 years old female
Salmonella - 1996, Appendectomy - 1998
Dx Crohns Colitis in entire colon, rectum - 2000
Hypersensitive/Allergic to: Asacol/Pentasa/Budonside/6MP/Humira/Remicade/Cycloporine, Methotrexate/Tysabri/foams, and more
Also tried various diets, human whipworm, didn't work
Past meds that worked: Cipro, pred
Total proctocolectomy with permanent ileostomy - Nov 7, 2012

mystique2
Regular Member


Date Joined May 2012
Total Posts : 204
   Posted 1/1/2013 9:27 PM (GMT -6)   
Same thing happened to me. They put me in the two piece hollister system in the hospital and right now, it is the only bag that is actually staying on for more than 12-18 hours. (Before this surgery---where I got a loop ileostomy--the other bags would stay on for anywhere from 3-5 days.. now it is hours)

The bag popped off the wafer piece in the hospital after I had been laying half on my back and half on my side a little bit. Twice, once in the hospital and once at home, I had leakages coming from under the wafer.
The bag popping off the wafer is One reason why I don't trust these two pieces but when they are only the ones that work at all at the moment, I must make the best out of it.

My only real suggestion is ... When you first feel the itch, change the wafer. And do like I do, if the bag gets half full before you can empty it, make double sure that bag is still sealed to the wafer and the weight didn't loosen it. (we are supposed to empty at 1/3 full but that doesn't always happen when you are sleeping or in an important meeting at work.)

A few warnings.. Stoma paste, according my best ostomy nurse "is the most misleading name for a product imaginable". and I have to agree with her.. It does not help my wafer stick to me any better than without. It just helps protect my skin as the wafer adhesive breaks down. It buys me some time before I can change the bag or/and the burn begins.

Most people on this board will tell you, the fewer products, the best outcome you will have with your system. And the fewer products (paste, powder, skin barrier, etc) the easier it is to figure out what you may be allergic to as you try different bags. Personally, I have two different NO STING skin barrier wipes and because of my sensitive skin, I won't use a bag without it. It does NOT prevent bag/wafer failure at all. It protects my skin from being irritated by the wafer adhesive itself. My skin is so bad that my skin will literally bleed during the winter where my boots hit my leg, and that's with good quality lotion. Can you imagine what the wafers did to it? Even when I used the ones made for my type of sensitive skin?

Jen

penny471
Regular Member


Date Joined Jul 2012
Total Posts : 375
   Posted 1/1/2013 11:00 PM (GMT -6)   
I also had the hollister two-piece set soon after surgery but because it kept leaking, they had me change to a Convatec and I'm doing so much better now. This one lasts me 5 days at most without leaks.
DX UC in 2008 (left-sided), had symptoms since 2006.
Cancerous polyp of 2 cm found in colonoscopy 09/2012.
Surgery for total colectomy 11/08/2012.
Take down scheduled for 02/2013.

ActiveUCer
Veteran Member


Date Joined Jul 2012
Total Posts : 1685
   Posted 1/2/2013 11:20 AM (GMT -6)   
Have you tried an ostomy belt? The help keep the bag secure to the skin appliance.
http://activeguts.wordpress.com/

Drug refractory UC
Colectomy with end ileostomy August 30th, 2012 - jpouch sometime
IBD related arthritis and peristomal pyoderm gangrenosome

Humira, finally off of steroids! Aiming to have Step 2 in August 2013.

Tried lots of drugs and diet, didn't work for me.

Alohamomof4
New Member


Date Joined Jan 2012
Total Posts : 19
   Posted 1/3/2013 2:30 PM (GMT -6)   
I use the same bags/ System. I have never had one pop off at night ( or any other time) but I always wear a tight old navy tank top XS size that way it fits snug over my bag and hold it down tight ( but not to tight that it puts pressure on the stoma or anything)..I would normally wear a medium tank top..if its snug to your body its less likely to get twisted as you roll on your side etc. I use stoma powder ( light dusting) and then seal it in with a cavillon skin barrier or I use the hollister version of the skin barrier.. then put the wafer on ( after waiting a min for the barrier to dry) then I put my fingers around my stoma and press down fairly hard to "seal" the wafer to my skin.. I hold this for like 2 min.. then pop on the bag and again hold my hand down tight for about 5 min. I have had a bed blow out and I was covered in it.. thankfully my hubby made it through without the poo on him ha ha.. The blow out was because it leaked under my wafer and out the side onto my belly.. the bag was super full and very full of gas so I think it just blew open from that.. but I was also on day 4 so you never know. I have also had a bag leak on the side of the seam and I think it was just a faulty bag.. I do not let it get super full or heavy.. and when I get up to empty it ( I wear the mini round drainable ones) I carry the bottom of the bag in my hand so that its not heavy on the wafer and does not pull at it.. During the day I empty it more..I figured an occasional blow out is par for the ostomy course :) The tank tops are a huge help and have allowed me to wear normal clothes ( even a tight fitting dress at a christmas party where people do not even no its there.. I just layer normal shirts over them :)

dietcoke
Regular Member


Date Joined Jul 2008
Total Posts : 186
   Posted 1/3/2013 11:57 PM (GMT -6)   
Thanks for all of your replies. No, I don't know wear an ostomy belt, but I will look into one. Also, the idea of wearing something tight fitting to bed is a good idea. I do that during the day, but like to be freer at night. I guess that will have to change.
43 years old female
Salmonella - 1996, Appendectomy - 1998
Dx Crohns Colitis in entire colon, rectum - 2000
Hypersensitive/Allergic to: Asacol/Pentasa/Budonside/6MP/Humira/Remicade/Cycloporine, Methotrexate/Tysabri/foams, and more
Also tried various diets, human whipworm, didn't work
Past meds that worked: Cipro, pred
Total proctocolectomy with permanent ileostomy - Nov 7, 2012

Educator4life
New Member


Date Joined Oct 2012
Total Posts : 5
   Posted 1/4/2013 9:56 PM (GMT -6)   
I use the Hollistr new image supplies. My nurse that worked with me told me to use the adapt paste. You put it on the wafer after you peal the plastic backing off, put a generous amout, a steady stream all around the circle, then place over the stoma. Hold it apply pressure to heat up the seal for about 60 seconds. I usually use a hand towel cause it creates more heat. I also use an ostomy belt with snug under garments. Haven't had a problem except once and that was my fault. Do you use the lock n roll bags? I empty often when I need to. Here to help if you an ear!

Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 1/5/2013 9:33 AM (GMT -6)   
Hubby has used the 1" belt since day one for the added support and does not mind it at all.

He has had much better luck with the one piece set ups. When he had leaking and problems, it was with the 2 piece Hollister and Convatech. He needed to use the rings or stoma paste with them.

Sorry that the Coloplast Sensura does not interact well with your skin as that is the one that has worked for the past year 1/2 for my husband.

When you get your skin under control, the Smith and Nephew Skin Barrier in a pump spray has worked very well for my husband. It does not compromise the adherance of the wafer and provides that extra layer of protection for his skin.
Wife of 65 yr old male suffered with UC & in May 06 had a severe flare & hospitalized 6 days...various prednisone treatments leading to steroid dependence and osteopenia, 12 asacol, 200 mg Imuran, failed remicade infusions Jan-May 2010 Dependence on pain meds. Made decision 6/10 to have surgery which was on 12/17/10 (total proctocolectomy & ileostomy - unable to have the j-pouch) & now pain free

kkcoolk44
New Member


Date Joined Dec 2012
Total Posts : 16
   Posted 1/6/2013 12:35 AM (GMT -6)   
Funny you mention this. I had the same problem. Try an waking seal a convex wafer or paste. I also recommend a skin barrier wipe. Your supplier or pharmacist should be able to help!
12 years old IPAA on October 12th 2012 ileostomy. Second surgery January 29th. Colitis for 5 years. Diagnosed November 13th 2007
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