Question about paste/seals

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NewShinyCD
Regular Member


Date Joined Oct 2009
Total Posts : 474
   Posted 6/23/2010 8:50 AM (GMT -6)   
So I've been using Stomahesive since I got out of the hospital, but Ive noticed that after like 3 days that the bag seal kinda starts to peel up around the stoma.
I keep hearing about eakin seals and the seals from hollister and stuff, but I was wondering, do you really have to use paste/seals to keep the bag on? I mean I know people use that stuff to fill in dips and whatnot, but my skin doesn't have any dips or odd folds.
I still don't know if I like one piece or two piece yet. I like the two piece cause of the belt but I noticed the flange sticky area is a lot smaller than the one piece sticky area.

In other news I went to my surgeon yesterday and I have the j-pouch test in two months. He also told me that when I was in the hospital for the second time that the blockage was actually caused from dehydration. He said my body didn't have enough water to unblock the obstruction. I was wondering about that cause when I was in the hospital they gave me about 20+ of those IV things before I started going to the bathroom normally.
21 y/o male livin' in Georgia. Diagnosed with Left-Sided Colitis in 2002; re-diagnosed with Pancolitis in Nov. 2009.
June 2010 I beat UC by having surgery.
Drugs tried: Just about every 5ASA medicine, enemas, prednisone, turmeric, fish oil, Remicade, psyllium seed powder, Metamucil.
Unable to take 6MP.
Step one of Jpouch surgery - 6/2/2010
Readmitted back to hospital because of blockage (my fault cause I ate Steak n Shake 3 days after being released from surgery) - 6/10/2010
Step two of Jpouch surgery - 9/?/2010


polishdan
Veteran Member


Date Joined Mar 2010
Total Posts : 1595
   Posted 6/23/2010 4:16 PM (GMT -6)   
Stomahesive is not necessary if you are smooth around the stoma. Your pouch, whether one piece or two, should stick on it's own. but be sure the area around the stoma is not wet or has any soap film on it.
I use eakin seals because at times my stoma pulls way back into my abdomen and allows poop to loosen the pouch adhesive. The eakin stops that. I can go four or five days without changing with the eakin.
I wear a one piece convatec pouch. The wafer plate is very pliable. I was never comfortable that the two piece pouch was attached to the wafer properly.

Dan

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 6/23/2010 4:56 PM (GMT -6)   
You can try going without it....depending on your output you may be ok (thicker the better, less breakdown). You might find that you'll get longer wear time with an Eakin/Adapt seal...some on here get 7 days, but NOT ME:(

Just a note...some wafers are meant to 'turtleneck' around the stoma. Are you using one of those?

Paste really does nothing to protect the skin and breaks down very quickly. But the seals actually protect your skin better and do not contain alcohol so there isn't any stinging!
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


NewShinyCD
Regular Member


Date Joined Oct 2009
Total Posts : 474
   Posted 6/23/2010 7:16 PM (GMT -6)   
Yea I'm disliking the paste. I've been wearing the two piece New Image pouch from Hollister and so far I'm starting to like it. I thought that flange was stiff and that it would cause it to pull of my skin but after I put it on a couple of hours later I noticed it was a floating flange and afterwards I wasn't afraid to bend over lol.

I found some on ebay which was A LOT cheaper than ordering through a medical supply company. For a box of 10 pouches it would have been like $100+ or something crazy; I bought a box for only $20 and some flanges for $20.
In a day or two I'll try it without the paste or a wafer and see how it goes. I got some convatec samples and it had some eakin seals in it so if no paste/wafer works then I'll try the eakin seals.
21 y/o male livin' in Georgia. Diagnosed with Left-Sided Colitis in 2002; re-diagnosed with Pancolitis in Nov. 2009.
June 2010 I beat UC by having surgery.
Drugs tried: Just about every 5ASA medicine, enemas, prednisone, turmeric, fish oil, Remicade, psyllium seed powder, Metamucil.
Unable to take 6MP.
Step one of Jpouch surgery - 6/2/2010
Readmitted back to hospital because of blockage (my fault cause I ate Steak n Shake 3 days after being released from surgery) - 6/10/2010
Step two of Jpouch surgery - 9/?/2010


NewShinyCD
Regular Member


Date Joined Oct 2009
Total Posts : 474
   Posted 6/24/2010 8:23 AM (GMT -6)   
They do after my deductible which is $5000. Since I have Aetna the only medical supply they partner with is Sterling Medical. They do have some kind of discount price before I hit my deductible, but nothing as cheap as $20.
21 y/o male livin' in Georgia. Diagnosed with Left-Sided Colitis in 2002; re-diagnosed with Pancolitis in Nov. 2009.
June 2010 I beat UC by having surgery.
Drugs tried: Just about every 5ASA medicine, enemas, prednisone, turmeric, fish oil, Remicade, psyllium seed powder, Metamucil.
Unable to take 6MP.
Step one of Jpouch surgery - 6/2/2010
Readmitted back to hospital because of blockage (my fault cause I ate Steak n Shake 3 days after being released from surgery) - 6/10/2010
Step two of Jpouch surgery - 9/?/2010


Allison77
Regular Member


Date Joined Feb 2005
Total Posts : 421
   Posted 6/24/2010 2:42 PM (GMT -6)   
I place a few drops of 3M liquid bandaid around my stoma, wait until it dries, put an eakin seal around my stoma make sure it's really snug, put the pre-cut floating flange (Hollister) on top then cover it all up with a pouch. I use a belt for the first half of a change day to make sure everything is nice and snug. With the Hollister extend wear I get 5-7 days wear time. AWESOME!!!

-Allie
RX Crohn's 1999, over 30 surgeries, 3 strokes, permanent colostomy and rectum removal.
 
"The most unfortunate thing that happens to a person who fears failure is that he limits himself by becoming afraid to try anything new."


Allison77
Regular Member


Date Joined Feb 2005
Total Posts : 421
   Posted 6/24/2010 11:26 PM (GMT -6)   
Because I wear it so tight that I end up with a over-large muffin top...yuck. No one needs to see that 24-7. LOL

-Allie
RX Crohn's 1999, over 30 surgeries, 3 strokes, permanent colostomy and rectum removal.
 
"The most unfortunate thing that happens to a person who fears failure is that he limits himself by becoming afraid to try anything new."


cleo35
Regular Member


Date Joined Feb 2007
Total Posts : 430
   Posted 6/30/2010 10:10 AM (GMT -6)   
There's no right or wrong way to do this - every new ostomy recipient will come to their own conclusions about what works for them. Some don't use stoma adhesive at all, I use it religiously. I also use the stoma powder religiously - not needed but I've had the ostomy for 4 years now and never had a skin issue so whether it's all in my head or not I continue to use it! I started out with a flat flange or whatever you call it - the part that adheres to your body - and had issues with it. The solution was to switch to one that was convex. A lot of this is trial and and error. Never have used a belt. You'll find your way Shiny - that much I guarantee!

Allison77
Regular Member


Date Joined Feb 2005
Total Posts : 421
   Posted 6/30/2010 8:53 PM (GMT -6)   
*rolls eyes at Ron* Only you...only you. LOL.

-Allie
RX Crohn's 1999, over 30 surgeries, 3 strokes, permanent colostomy and rectum removal.
 
"The most unfortunate thing that happens to a person who fears failure is that he limits himself by becoming afraid to try anything new."

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