leaks through base plate

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minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/5/2010 2:56 PM (GMT -7)   
Hi again.

I am so upset because I was confident until my bags started to leak through the base. It stings and etches. plus the first time it happened was when me and my boyfriend went into pizza hut for a meal. so not fair. I am going to see the stoma nurse on monday am have done some research on what products are out there other than paste. (which is hard for me to get used to, I find I need two pairs of hands.)

But I wonder what helps the best?

cry

Equestrian Mom
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Date Joined Mar 2008
Total Posts : 3115
   Posted 3/5/2010 4:01 PM (GMT -7)   
How long ago was your surgery? Do you use a wafer with convexity?
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 3/5/2010 7:45 PM (GMT -7)   
tell us what you use and how you do it, so we can trouble shoot
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007! 
-I have gone to find myself, if i get back before i return, keep me here-


flchurchlady
Veteran Member


Date Joined Jul 2007
Total Posts : 2765
   Posted 3/5/2010 8:43 PM (GMT -7)   
Sorry to hear you had a leak. Eakin Seals are great when Stomahesive Paste isn't enough.
Dx'd Crohn's in '99 at age 28. Proctocolectomy and permanent ileostomy in '06.
Disease-free and medicine-free since surgery and very thankful to be healthy again.


minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/6/2010 3:32 AM (GMT -7)   
I dont not use a wafer with convexity and the make is coloplast. I make sure the area around the stoma is clean and dry before I put anyting on. Then I put the base plate on. this is all a one piece. The previous bag before the failed bag worked so well so this makes me think that the hole I cut is ok. I did not change the hole size when I put on the failed bag.

I then check for gaps which sometimes appear and other times don't......

I had surgery two months ago.

I find the paste too hard to put on. what are Eakin seals?

thank you for trying to help

Equestrian Mom
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Date Joined Mar 2008
Total Posts : 3115
   Posted 3/6/2010 4:20 AM (GMT -7)   
You can get Eakin Seals from your supplier and most of the manufacturers have their version (I prefer Eakin's, myself). You should call and ask for a few samples. It protects the skin as well as providing a good seal and doesn't contain alcohol:)

Your stoma has probably stopped shrinking, at this point, so that probably isn't the problem. Can you go to a pre-cut?

Convexity 'cups' the wafer by the stoma hole which pulls your stoma up/out so that the output can fall easily into your ostomy pouch.

Are you using skin prep?
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008

Post Edited (OHIO76) : 3/6/2010 4:24:55 AM (GMT-7)


minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/6/2010 4:40 AM (GMT -7)   
I did have some film barrier wipes (lol in a form of a lolly pop) but the hospital only gave me a few. Could I get them at the manufacturers to?

when I place the seals on, do I then put the base plate on top? This sounds promising. I have ordered some samples.

Thank you.

cool

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 3/6/2010 4:47 AM (GMT -7)   
It is personal preference...some put the seal on their skin then the wafer or they put the seal on the wafer then put the combination on their skin(I prefer the second way). I'd suggest you try both ways:)

Keep us posted and GOOD LUCK!
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 3/6/2010 8:54 AM (GMT -7)   
skin prep will actually shorten your wear time, so i dont suggest those.
Only use that if you have a sore or something.

Ohio-what good would it do to put the sure seal UNDER the wafer? the wafer would still get wet, and i wouldnt think it would stick well to that
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007! 
-I have gone to find myself, if i get back before i return, keep me here-


Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 3/6/2010 8:58 AM (GMT -7)   
summerstorm~that seal I was talking about is an Eakin (not Sure Seal!!)

Yes, skin prep can shorten wear time:(
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/6/2010 1:53 PM (GMT -7)   
what is a sure seal.. and how do you put them. on.....what is the difference between that and a eakin seal?

thank you for the advice.

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 3/6/2010 10:37 PM (GMT -7)   
LOL ohio i thought you were crazy! I should have known it was me, lol.

I cant explain an eakin seal very well, it replaces the paste.

A sure seal goes over the wafer, on the outside, its kind of like saran wrap, sort of what it feels like.
And it keeps water off the wafer and makes it easier to dry after the shower.
You just put it on after you change your bag, by sticking it on with the adhesive side
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007! 
-I have gone to find myself, if i get back before i return, keep me here-


Trigirl
Veteran Member


Date Joined Jan 2006
Total Posts : 768
   Posted 3/6/2010 11:03 PM (GMT -7)   
I'm still new at this obviously. Have to try that Eakin seal on skin before wafer next time. Paste doesn't seem quite as strong as Eakin seals? Would you agree or disagree?

Also I have been using skin prep every time since it made my sore skin improve so much. Will have to change that. This was one of those weeks you wish didn't happen. 4 accidents in one week is not my idea of fun. I have decided maybe I have to put my seal on at night so it gives it time to stick before I go swim or run or you know generally abuse it. I don't try to, really, but my life is definitely different, harder,time consuming with this Ostomy.

I am trying to love bubbles and appreciate it's life giving value.
Those things we keep trying to do get easier not because the feat gets easier but our ability to "do" gets better.
Thyroid cancer removed 1988
Stomach problems finally figured out 2001 Crohn's/Colitus
Tried every drug without much success
Colon/rectal cancer removed Aug 2009
6 Grown kids, grandkids and a great husband to keep me busy


Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 3/7/2010 4:26 AM (GMT -7)   
Trigirl~I think you'd be a poster child for the Sure Seal! It protects the paper/tape part of the wafer from water (it's breathable/waterproof) to give you longer wear time:) Sometimes Skin Prep and water = bad things:( especially if the Skin Prep is used on the skin away from the stoma.

With your activity I'd think the Eakin Seal would help, too. It protects the skin in addition to making a better seal between skin and appliance:)

Changing at night might be worth trying...I know at least one manufacturer recommends waiting at least 24 hours before getting the appliance wet:(

LOL, summerstorm!
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/11/2010 10:26 AM (GMT -7)   
I have tried dermacol collars and they have not worked bacause my stoma is overall. I am using the eakin seals but i still dont feel confindent. is there a chance the seals would spring a leak too? I am so worried not. why wont the leaks stop.

The stoma nurse has mentioned this other type of bag..oh I forgot the name...the base steps out a bit. I feel I am losing options.

cry

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 3/11/2010 11:27 AM (GMT -7)   
minxycat1234~that would be convexity...it pulls your stoma up/out so the waste falls into the ostomy pouch. You should definitely give that (with the Eakin Seal) a try!
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/11/2010 12:25 PM (GMT -7)   
yes, I think I will give that a big go. when I look at him- the stoma- he seems to look small..however I gues he does look rather short and stumpy. lol. poor guy or gut..lol. so I hope this works. I shall call the nurses tomorrow.

minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/11/2010 12:48 PM (GMT -7)   
oh but I do have one question. wonder if anyone might know.
can convexity bags only be given to retracted stomas? I mean mine is not retrated but i cant get a good seal.
thank you

SocalJohn
Regular Member


Date Joined Oct 2008
Total Posts : 160
   Posted 3/11/2010 1:24 PM (GMT -7)   
Thats a great question. I didn't find out till about a month ago. You can definitely use convex bags with a regular stoma. And they work amazingly well by comparison; at least for leaks. My skin is very sensitive though, and I found that the convex bags cut the skin around the stoma, so I had to move away from them unfortunately. Ill tell you, the week or so I wore them, I felt so confident while I was out and about. I remodeled part of my house with not a single leak over several days.

Try them, and if they work, you'll be set. If its like me, and they cut your skin, you can always use a 2 piece flat appliance with belt loops, and use a belt. Thats what I do now.

Also, I use sure seals. I quite using that paste crap about 5 days after I got my stoma.

John

minxycat1234
New Member


Date Joined Feb 2010
Total Posts : 14
   Posted 3/13/2010 4:45 AM (GMT -7)   
I have to agree that the paste is not very good. I got that stuff everywhere but freddy. lol. odd i know. but I am getting some samples in for the convex bags. so I hope this works. I think it well. looking up cool

Pitz
Regular Member


Date Joined Jul 2007
Total Posts : 84
   Posted 3/14/2010 1:23 PM (GMT -7)   
minxycat -

No, convex barriers and rings can be used if your stoma sticks out, too. My stoma stuck out about an inch, but I still had to use a convex barrier and convex ring to prevent leaks due to dips in my skin. I also used OstoBond adhesive on the barrier and my skin, paste and/or a seal in the space around the stoma and the ring, and a Sure Seal over the barrier. I can't say enough good about Sure Seals (learned about them on this site) - they prevented a leak from coming totally out until I could get home to change. Toward the end (I had my takedown in Jan. '10), I also had to take a piece of a seal (like Eakin, but Hollister brand...the name escapes me now) to put in a dip in my skin under the barrier to prevent leaks. My leaks always occurred in the same spot. My WOCN is the one who helped me with all this. Check with yours - they should be able to try samples on you.

06/2002 - diagnosed w/ulcerative colitis
06/02/09 - colectomy w/ileostomy
01/23/10 - ileostomy takedown; ileorectal anastomosis


polishdan
Veteran Member


Date Joined Mar 2010
Total Posts : 1595
   Posted 3/14/2010 6:05 PM (GMT -7)   
I have had an ileostomy for 2 1/2 years. I have worn convatec one piece pouch 400598 almost the whole time. Very flexible and comfortable. I usually change every four days. I always have an amount of leakage at the stoma....not to the outside world. The last two changes I have used eakin seal 839002 for five days each. It's about 2" outside diameter. Absolutely no leak, but it is a real bugger to get the residue off my skin. Right now I have an eakin seal 839001. Same diameter as the pouch wafer. It is much thinner than the 839002. I hope it seals as well and comes off easier.

I never used an eakin seal before. I am sold on them and will continue.....Real good product.

Dan

not creative
Regular Member


Date Joined Mar 2007
Total Posts : 469
   Posted 5/26/2010 2:41 PM (GMT -7)   
Eakin seal are really the best. I have used others like the Hollister adapt ring but that one melts and gets runny and then is useless.

Also, the paste melts and is useless, I have like 8 tubes of it from when I first got the ostomy but it sucked so I never used it.


Laurenne, 25 Graduate from University of California, Davis. BA-Anthropology
Dx'd w/ IBS and CD in 2002. Was in flare from 2006-2010 with almost no relief from any meds I tried.
Three abscesses that are now fistulas, with three setons! All gone as of March 9
Tried: LDN- Did nothing good, Remicade- allergic, Humira- no reaction
On: Zoloft, Abilify, folic acid, b12, vitamin c, multivitamin

3-9-10: Total protectomy and Sigmoid colostomy installed. Haven't spent more than 3 minutes on the toilet since- it's fantastic! Now I'm just waiting to get regulated so I can irrigate.

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