Equestrian Mom said...
I think you are right on the mark using a moldable. The beauty of those is that they will retract and be snug around your stoma...called turtle-necking...and that combined with the seal should do the job.
Personally, my stoma isn't moldable friendly anymore but I do use Eakin Seals. I use the whole seal and flatten it out away from the stoma hole. Then, when it swells, it is a little more controlled and doesn't seep through as much. When I did use moldables I would stretch it much wider so I could see the placement and once it warmed up to body temperature it would snug up to my stoma.
Moldables will also help when the stoma shrinks since it does turtle-neck right up to the stoma.
There is a learning curve to all this but I think you should give yourself more credit...it sounds like you do have the hang of it. WOC Nurses give us their take on using these products...but we have to apply the 'this is my body's way' to it (which is more important)!!
The moldable wafer and Adapt ring (one or both) are now leaving exposed skin for me, mostly on the bottom side where the (pasty) stool flows and "dissolves" the ring and pushes it away, in less than 24 hours after a wafer change. I am getting redness where the skin gets exposed, about
1/4 inch wide. The ring looks great after applying it, snug right up to the stoma, like a volcano (turtleneck) the next morning, after it has swollen. But by that evening, I see exposed skin when I am changing the bag.
What should I do? I don't want the skin to get worse. The ring is apparently not sticking to my skin on the bottom side. But when I change the wafer/ring every 3-4 days, there is sticky residue from the ring (I assume) on the bottom side of the stoma, below the exposed red skin. It is quite difficult to remove (rub away, because I don't want to use adhesive remover). So the ring sticks, just not where I put it originally, right below the stoma.
I'm thinking of skipping the ring, and just using the moldable wafer. Maybe it will stay snug up to the stoma when the stool passes. Or do I need to switch to paste, which I've never tried?
I make sure the skin is clean and dry (using blow dryer) before applying the wafer (with ring attached). I use only water to clean, no adhesive remover or skin prep.
I don't want to give up on moldable wafers yet, because I'm only 4 weeks post surgery, and it seems too hard to measure and cut a wafer just right.
The stoma is oval. I don't see any creases or abnormalities in the oval shape, so I didn't think I would need paste. I've never had a leak. My only problem seems to be the receding of the ring (on the bottom side).