Still fustruated with bag

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tiaeight
Regular Member


Date Joined Sep 2006
Total Posts : 241
   Posted 3/26/2011 3:38 PM (GMT -6)   
I know that the bag is supposed to fit securely around the stoma.  However, the inside wafer is getting very soggy after a few hours and i can feel that it leaking underneath because my skin is raw right at the botton.  I have a one piece.  I am using the paste and stoma adhesive.  Is there anything else that I can do?  Am I doing something wrong?
 
Thank you!

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 3/26/2011 3:59 PM (GMT -6)   
have you ever tried hollister's addapt rings? they are the best in sealing around the stoma. i couldn't manage with the paste either, but the addapt rings are great. i use coloplast sensura 2 piece and the rings and it holds for a whole week. good luck! let us know if it helps.
Hodaya
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy

answers4me2
Veteran Member


Date Joined Dec 2008
Total Posts : 1325
   Posted 3/26/2011 4:45 PM (GMT -6)   
I have also been having bag issues. GRRRR And I have had my ileostomy for 9 months.

I was using convatec's moldable wafer, but I started experiencing skin issues with rash and itching and also the wafer would pull loose from my skin whenever I ate too much fiberous foods. This was very frustrating causing huge messes on my clothes...

So, I ordered some coloplast samples, and I liked them....well, I ordered some of the coloplast products from Edgepark, and not one of the 5 wafers would stick to my skin.I called Coloplast and they said they thought my parastomal hernia was what was causing the issue with the bag not sticking, so, they mailed me some more with the instructions to warm the wafer up before adhering it to my skin....well, guess what? All 5 replacement wafers fell off too. I am supposed to call them and they said they will mail out some samples of a different type.

I am now using Hollister's new image and have only had one mishap with the wafer coming off due to me eating too much fiber, a banana. ACK

What products have you tried? Because if I was you, I would call ALL of them and request samples and then try a new product every change to see which you like best.

I am still having some skin burns right underneath my stoma, but I think this is from the way my stoma flops down. It is a little over an inch long at times, but can also shrink up to be less than 1/2 inch during peristalisis. Is yours like this? Is your stoma a loop or an end? Mine is a loop.

I have had good luck using the Eakin SLIMS with the Hollister new Image. I use both 1 piece and 2 piece, it just depends on how much time I have to change my system out. If I am in a hurry, I use the 1 piece.

I also use the Sween Cream and this has helped with the dry, red skin. I then use some powder and the No Sting barrier spray from 3M, and this has eliminated the itching. THANK GOD! The itching was driving me nuts. And when I am out of Eakin seals, like I am now, I use the paste.

I am just glad I found a product that I am happy with. YES! And the barrier seems to hold up pretty well with my mostly liquidy output.

Good Luck, Tracy
Diagnosed w/colonic inertia, obstructive defecation syndrome, anismus, rectocele, and intussusecption
2005-hysterectomy w/pelvic prolapse repairs
2006-sacralcolopopexy
2010-subtotal colectomy, rectopexy, and temporary diverting loop ileostomy. Parastomal hernia discovered in November, so more surgery, probably end ileostomy with relocation of stoma.

stripey
Veteran Member


Date Joined Feb 2011
Total Posts : 1059
   Posted 3/26/2011 7:43 PM (GMT -6)   
For the last four months until very recently I have had very high watery output due to a CD flare. However, never had a problem with leaking under the wafer, only if I fell asleep too long and didn't wake up in time to empty bag when full, then would begin to force under wafer.

I use convatec natura two piece range, cut the hole so it is really tight to stoma, use paste but I squeeze this into a 5ml syringe so when I apply it around stoma it is in a very thin line. If paste is too thick I have foud this can affect way wafer sticks to the skin and cause leakage. Also use cavilon barrier wipe just around stoma area.

All this works well for me and skin has no irritation. Is your stoma short or is it convex? There are special products you can use to help with this like convex adaptors that push stoma out. Also mouldable wafers available that fit really tightly around stoma so don't allow the output to leak underneath as they are flexible and snug.

If still having problems have a word with your stoma nurse and they should be able to recommend some solutions after they have seen exactly what problem is and what type of stoma you have.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 3/26/2011 9:29 PM (GMT -6)   
my thought is that you may have the hole too large, and with it being a one piece you can't see if it's the right size. i think try a two piece.

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 3/27/2011 9:04 AM (GMT -6)   
There are also a lot of great suggestions on the thread i started called "Wondering what I'm doing wrong."
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