wafer doesn't stick

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MACGIRL
Regular Member


Date Joined Jul 2009
Total Posts : 90
   Posted 12/5/2010 7:21 PM (GMT -6)   
My wafer doesn't stick to my skin around my stoma. I am overweight and have an indention around the stoma. It looks like my stoma is in a shallow bowl. I know this the is the reason that the the wafer doesn't stick because it just won't bend inward. I use the stoma paste around it, but the wafer still pulls away from the paste. I have tried the seals also. Same thing. They might stick to my skin a little better. Not really sure. I have gotten a rash where it leaks under the wafer at the bottom. I use the barrier seal spray and the powder also.

I'm still new to all this and was wondering if anyone has any advise.

pswift520
Regular Member


Date Joined Sep 2010
Total Posts : 91
   Posted 12/5/2010 9:38 PM (GMT -6)   
Have you tried the convex wafer. That is what I have to use because my stoma don't stick out very far. It helps to push the stoma out farther and it may help out with the dip you say you have around our stoma. It is alot of trial and error so good luck.
 

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 12/5/2010 10:24 PM (GMT -6)   
the spray and powder may be your problem, those can keep it from sticking as well.
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-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

MACGIRL
Regular Member


Date Joined Jul 2009
Total Posts : 90
   Posted 12/6/2010 3:39 AM (GMT -6)   
This is the second night in a row that I have had to change the wafer because of leakage. It has taken me at least 30 minutes to do so. The stoma kept exploding and I had to keep wiping it and cleaning around it. I have not tried the convex wafers. I just looked them up on Hollister's website and it looks like that might be what I need. I didn't know they made those.

When I changed this time I did not use any powder or spray. I also used a ring instead of paste. We will see what happens. Also, I noticed that the back of my wafer did not feel very sticky. This may be normal. I haven't really noticed. I was wondering if I might have got a bad box of wafers but I opened a new box and tried one and it wasn't sticky either. I use Hollister new image two piece system.

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 12/6/2010 7:42 AM (GMT -6)   
it doesnt feel sticky, its like wax. Are you using a hair dryer for a bit after putting the wafer on, to warm it up to make it stick better?
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-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

bearbear3
Regular Member


Date Joined Nov 2010
Total Posts : 61
   Posted 12/6/2010 9:23 AM (GMT -6)   
I have had leakage issues like you since the beginning. I've found the seals help me more than the past does and I like the Adapt seals better than the Eakin seals. I just put a new Hollister two piece on yesterday (haven't tried these before). The tape didn't seem super sticky to me either but I put on some powder and barrier protectors as I've got some rash and skin breakage too because of leaks. I finally have my ostomy belt and I think that's helping. If you don't have one I suggest getting one. Hollister sent me one in my 'sample' kit but I did have to inquire about it first. It is a lot of trial and error at first, I'm still trying, but you'll get better with time. IF you can get it to where you choose when you take it off instead of needing to because of leaks I find mornings before I eat anything are best for me because the stoma isn't exploding, like you said. Showering caused me a lot of problems at first too as I found the water kind of pulled or loosened the seal some. Someone here on the site uses Glad Press and Seal saran wrap around their bag area to keep water out. I am not working and couldn't go out and buy anything new so I have a gallon sized ziploc that I use hospital tape on to cover my bag. It isn't perfect by any means but it REALLY helps keep it from getting soaked. There are also some other outside water proof seals that some people here use. I tried to request a sample but that was over a month ago and I still haven't gotten anything. I think they're called Sure seals.... but I'm not 100% positive.

Ask a ton of questions; here, to Hollister, to any other supplier you may try, to your ostomy nurse, just ask. Even if they seem ridiculous. There is a lot of information out there but I've found it's not always freely given. But people here especially are amazing resources if you just ask around. Good luck.

still a lot to learn
Regular Member


Date Joined Nov 2010
Total Posts : 33
   Posted 12/6/2010 4:48 PM (GMT -6)   
macgirl,
 
be sure you warm up the wafer.  i usually keep it under my leg or inside my bra for about 10 minutes before i apply it, then i hold my hand over it and the bag for about 10 minutes after i have it all on.  l
(if i use a seal i do the same kind of warming method for it.)
 
there is a lot of trial and error with all kinds of "toys" we can use to make our individual pouching issues get resolved.  the supply companies love to get calls from us newbies.  you tel them what problems you have and they are very  knowledgeable about their products and will often send you free samples to try.  just call and ask!
 
hang in there and dont get discouraged.  it seemed at first i had soooo many leaks, esp at night, i'd wake up with anything from a small puddle of sewage beside me to a full blow off of the bag.  (thank the good lord, it rarely ever happens now).  it's a good idea to pad your bed well at first to keep from ruining the mattress.  i dont know how many times i did a complete bed change in the middle of the night, alternating between fits of frustrated tears and laughing hysterically at how artistic the splotches could look. (after i did a complete pouching change)
 
good luck  tongue
crohn's since 1983, many surgeries and way too many drugs later finally got a perm ileostomy & proctocoletomy in August 2009 (a life saver). meds: 6 mp, lomotil and immodium, vitamins. LIFE IS GOOD!

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 12/6/2010 8:27 PM (GMT -6)   
It's probably a combination of things...It does sound like you need deep convexity and have you used a belt? the extra support may help in your situation.

Not every brand works for everyone. Your body's make up may not work with Hollister...try samples from some of the other companies, too! You can go to www.uoaa.org and find a listing of all the brands and their website/phone numbers.
Crohn’s dx 1989
some terrible years before my
temporary ileo in 2001
Proctocolectomy w/end ileo in 2008
...wish I knew then what I know NOW!

Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 1/7/2011 9:23 PM (GMT -6)   
Definitely sounds like you need the convex style like my husband. The ostomy nurse at the hospital told us that from the get go and to be sure that is what we use. Also hubby has a bit of a crease to the right and left (like 3 o'clock and 9 o'clock) that we use a little paste onto the backside of the wafer in addition to the Eakin Seal. So far so good. No problems - using the Hollister 2 piece...convex. Warming up as suggested is good too. Also the skin prep for better adhesion?

Do you have the opportunity or insurance coverage for you to see an ostomy nurse or home health nurse to better assist you as it sounds like you could use a little more help.
64 yr old male --suffered with UC & in May 06 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 in 6/10 to have surgery which was on 12/17/10 and no longer in pain.

MACGIRL
Regular Member


Date Joined Jul 2009
Total Posts : 90
   Posted 1/8/2011 9:21 PM (GMT -6)   
I received a sample of the extended wear wafers from hollister and some of the adapt rings. They are working. I ordered some from my supplier.
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