My dad had a colon resection in early July because of colon cancer and has been dealing with leaking and blowing-out colostomy bags ever since. He is overweight, (about 265), his stoma is very flush to his skin and is shaped like an eye-not round at all- and right in his belly crease. He's just been discharged from the nursing home to go home and as he can't change his bag himself I am the one who is in charge of managing the changes, etc.
The way each hospital and nursing home he's been in has managed this is to use a convex wafer, an Eakin ring flattened on the edges and paste on top of this, paying particular attention to the edges where the crease runs. The outer edge stays put more often than the inner edge. This is where it seems to give out out, toward his belly button (and right into his abdominal would, btw.)
It seems strange to me to build up the opening of the wafer so much with all these products. I wonder if just paying attention to the crease edges might be what is needed.
Also maybe a belt might be useful? We were told by a nuse that belts tend to work better for thin people, rather than overweight individuals. She says she sees them work up in the back and pull the appliance off, more often than not. Anyone of an overweight stature have luck with a belt?
We are making an appointment with the ostomy specialist at our local hospital so I hope we can get some answers from her. These leaks and blow outs are very frustrating for both of us.
I appreciate any advice you can give me on this matter. I applaud each of you who live with these ostomy issues every day and I'm glad you have a forum in which to vent and get support.
Thanks so much-