bag coming loose

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Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/4/2007 1:05 PM (GMT -6)   
I was just wondering, what is the best way to keep your bag from coming unstuck from your belly and causing leaks when you least expect it? I have gone thru several bags in just a few days due to it coming loose and leaking. I got up this morning to go relieve myself and my bag was leaking. I had just changed it on friday afternoon and even then I had to go thru three bags b4 I could get a good seal.

This is really frustrating and I only have six bags left to last me for the rest of the month and my samples will not be here till at least friday. Any advise would be helpful. I use a Hollister one piece with no wafers and the like. I use stomadhesive on the edges and still develope leaks after a day or two.
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 11/4/2007 1:18 PM (GMT -6)   
Are you using a skin barrier/prep? Sometimes that helps. What are you using to clean your skin? You may have oily skin, I always use a deoderant/antibacterial soap which strips your skin of oils.
 
Are you using any powders or creams that could prevent it from sticking?

The other thing would be that it's the wrong size opening. Is it pre-cut? You may want to try bigger, if you're cutting it, try cutting a little bigger.

Does your stoma protrude evenly all around, or is it flat and/or flush with your skin?

Do you do strenuos activities? Sweat a lot? Do you let it get too full, or full of air? Sorry, more questions than answers.

It may be as simple as you need a different type of pouch. You may want to ask your doctor for an ET nurse to come out and help you figure this out.

You should also be able to call your supplier and tell them you've had an emergency and that you need more supplies. They should be able to help you even if it's to just send samples. This is also why you should always have an Rx on file signed by your doctor for a large amount of supplies in a month's period.


Judy
49 years old, Crohn's Disease   
Six resection surgeries, permanent ostomy, adverse reactions to Remicadeback on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 


Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/4/2007 1:34 PM (GMT -6)   
Well to answer your questions:

I do use a skin prep prior to putting the bag on.

No, I do not have oily skin, It is just that the ostomy is low on my belly and the bottom of the bag sits in a fold. That is where it comes loose.

I do not use any powders and such that would prevent it from sticking.

I cut my hole to size and have tried a bigger hole size but that leads to the stomach acids getting on my skin and forming a rash as it were around the ostomy. I get the "itchies" as Peggy calls them.

My stoma sticks up from my belly about half an inch or so and it is even all all around.

I do not do any strenuos activity, quite the contrary, I spend most of my time either on the computer or doing cross stitch designs. I may play a game on the computer evry now and then.

I have some samples coming in this week and will hope that one of then will work better than what I have. I guess that the sticky stuff on the bag is not very friendly to my skin and that s what is causing it to come loose.
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 11/4/2007 1:45 PM (GMT -6)   
Have you tried a heavy duty (plastic or silk) tape along the bottom where the flange goes into your crease? If it continues to be a problem you may want to try one of those wide NuHope belts to hold it down.

Hopefully you can find a pouch that the adhesive sticks better for you. Good luck and let us know what happens.
Judy
49 years old, Crohn's Disease   
Six resection surgeries, permanent ostomy, adverse reactions to Remicadeback on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 


justjenjen
Veteran Member


Date Joined Nov 2003
Total Posts : 518
   Posted 11/4/2007 2:54 PM (GMT -6)   
Do you need some convexity? That can make a bag pop if you need it and you're using a flat one.

Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/4/2007 3:16 PM (GMT -6)   
The bag is a flat one. I just have trouble with it coming loose on the bottom just below the ostomy. It seems that my skin folds just below it prevent a decent seal from forming. Hopefully the supplies I'm getting this week will have some thing in it to help solve this situation.
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 11/4/2007 4:51 PM (GMT -6)   
Peggy gave me a great idea because I have a smiliar problem. My stoma is very low and I always have to sit very erect with my back straight in order to keep my wafer from bending on my belly. Peggy suggested putting a small strip of the Eakin around the edges of my wafer. I cut most of the tape off of my wafers to make them smaller and then I apply a thin layer of the Eakin almost to the edges of my wafer. This helps a lot. The only problem I have now is that it is hard to remove all the Eakin spots when I change my wafer. I hope this helps you. Becareful, the Eakin grows a little once it feels the warmth of your skin ...it expands. So, if you apply it right at the edges of your wafer, it will expand and come out from under your wafer and stick to your clothing. Try to keep the Eakin about 1/2 inch from the edges of your wafer and then it will expand the edges on its own. I hope this makes sense. It is hard to describe these things in words. Let me know if you have any questions about this.

Amey
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/4/2007 10:01 PM (GMT -6)   
Thanks Amey. I do not use wafers yet but I hope the stuff that is coming will have one. I have not tried the Eakin yet but I just may. just have to wait and see what I get.
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 11/5/2007 6:30 AM (GMT -6)   
Do you use a one-piece? Even a one-piece has a wafer. I am confused. How do you NOT have a wafer?
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/5/2007 3:36 PM (GMT -6)   
cool well if the sticky stuff on the backside of the bag is a wafer, then I guess I have one then. So far the bag I have on now has not come loose yet and I hope it will stay that way till changing day, which will be in a day or so. I think laying down and putting the bag on is alot easier and it sticks better cause my belly is flat and not creased. I put pressure on the wafer for a few minutes just to be sure it sticks. So far, so good. yeah
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 11/5/2007 10:58 PM (GMT -6)   
yeah laying down does seem to help me also. When i was using the no sting barrier my bag came off alot easier
 


Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/7/2007 5:24 PM (GMT -6)   
Well I got lucky, my bag lasted four days and I just changed it this morming. I hope that this bag lasts as long as the one I changed. My supplies should be coming in this week and we'll see what happens.
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 11/7/2007 6:27 PM (GMT -6)   
4 days! That is awesome! Did the laying down help you? What worked for you? I always have to lay down with a put my wafer on. My stomach has to be very flat in order for the wafer to get a good stick. Then sometimes I will lightly blow dry my wafer because the warmth of your skin is what helps the wafer to attach.

I am glad you are doing better!
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 11/10/2007 9:38 PM (GMT -6)   

Clyde,

So how's the wear time?  Did you make any changes to your application procedure? 

 


Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


NYR
New Member


Date Joined Nov 2007
Total Posts : 3
   Posted 11/11/2007 11:00 AM (GMT -6)   
I had the same problem in the past but now I am doing much better. First I make sure my clothes are not too tight to the area. I use a protective skin barrier paste by (convatec).
This paste is used to cover any uneven area to prevent leaks. I hope this helps.

Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/11/2007 1:59 PM (GMT -6)   
Hey ya'll, thanks for the input about this subject. I went another four days without a leak even showing up. I changed my bag this morning when I went to shower and the seal held up during the time I had it in place. There was not even the hint of a leak appearing on the wafer around the hole for the stoma. I was really surprised to say the least. I guess I found the fix to a frustrating problem. I hope this bag holds up to the test of time for the four days as well.

YEA!!!!!!!!!!!!! yeah yeah yeah
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 11/11/2007 6:09 PM (GMT -6)   
Yippie! Congratuations! Clyde, I am so glad that you are doing well. Changing your bag all the time can be a messy battle. I am so happy that you are only changing every four days....maybe you can get five days next time. Although, that might be living dangerously ... just kidding.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Clyde01
Regular Member


Date Joined Oct 2007
Total Posts : 56
   Posted 11/11/2007 6:54 PM (GMT -6)   
thanks Amey, I was goin to try for five days but I thought it might be a little risky. I may try it this time just to see if it is possible. Just have to cross my fingers, toes, eyes, legs........well you get the picture.
Ileostomy Oct. 17,2007 Only temporary till next year

No meds at present


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 11/11/2007 7:31 PM (GMT -6)   

I just have to say that I am happy that the Eakin Seals are working pretty well for everyone.  I have been getting 7 days wear time again!!  I know that is very unusual for an ileostomate but I was getting 5-7 before I started having my issues.  Then I was down to maybe 3 or 4 max.   Now I am back up to 7 thanks to the Eakins (thanks again Judy for suggesting them!!!).  I sure am grateful.  Even us "veteran" ostomates have issues to conquer.  It took several attempts at different ways to apply, etc., but I believe that I have finally found what works for me.  Trial and error! 

Best of luck to you Clyde --  if you are not having any "itchies", maybe try one more day if you didn't see any breakdown at day #4 the last time.  (but maybe only if you are gonna be around home that day!)  Never know til ya try, right?

 


Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


Glad Bag
Veteran Member


Date Joined Mar 2007
Total Posts : 699
   Posted 11/12/2007 7:42 PM (GMT -6)   
Clyde:

i have been getting 7 days weartime pretty consistently out of the Convatec / Sur-fit Natura, Durahesive, moldable two piece system, w/tape collar (long name, huh?)

Instead of cutting the wafer to fit the stoma, you roll it up on itself (like the opposite of unrolling a condom). You roll it upin the exact shape of your stoma, the rolled up wafer turtlenecks around the stoma and prevents the output from getting at your skin. This system is by far the longest lasting and I have tried many techniques....absent adding an additional eakin seal.

Also what's important about the system is the flange (not the wafer, put the sticky part around the wafer) is more medical-tape-like, then other systems and it seems to stick better then the plastic (coloplast type) flange types that claim to be "flexible" I can only get those to last about two days.


one other tidbit....all the reps at the supply manufacturers have told me that the skin prep actually reduces wear time...while it can protect your sensitive skin, it prevents the wafer from sticking directly to your skin, and the barrier begins to wear off, causing a leak....
"All we need is love....love is all we need"


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 11/12/2007 7:51 PM (GMT -6)   
Glad Bag,

I LOVE the moldables! This is what I used until I learned that I am allergic to Convatec. Your post brought back memories of the good ole' days...back when I no longer needed sizzors.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


maine
Regular Member


Date Joined Jan 2008
Total Posts : 38
   Posted 1/17/2008 4:13 PM (GMT -6)   
HI !
 
i had temp colostomy done oct 07 and plan to be reversed in april.  i started taking iron tabs about two weeks ago and since then my bag has leaked almost every day..it's to the point that i am afraid to leave the house!! i use a convatec flat one piece with stoma hesive and the stoma is right at my belt line...bad place!  does anyone have any suggestions, the convex appliance is very uncomfortable due to stoma placement and the fact that stome is flush and not protruding..any advise you could give me would be appreciated!!
 
THANKS
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