Posted 9/9/2016 6:56 AM (GMT -7)
Hi, I have a colostomy, and don't have the dietary and consistency concerns that seem to affect those with ileostomies, but I am in Canada (Ottawa).
I am currently buying my supplies at Shoppers, the larger stores that have a Home Health department. I have also looked at Canmeddirect.ca, a mail order supplier with a pretty wide range of supplies. Their prices are about 8-10% cheaper than Shoppers, but you must make an order of $150 to get free delivery. I hesitated for quite a while to make such a large order, because my stoma changed size 3 or 4 times during the first 18 months, though it has been stable for about a year now. Also, it takes quite a while to figure out what products and which brands work best for you. Everyone is different, and it takes a lot of trial and error to get the right set-up.
I suggest you call the three main suppliers, Hollister, Convatec and Coloplast. They all have helpful staff, specialists in ostomy care, who will listen to your problems and can suggest solutions. They will send you samples of their products as well. I have tried several varieties of one and two piece appliances, as well as accessories such as barrier rings, adhesive wipes, lubricating deordorant, etc.
You probably have the Hollister number if you got their starter pack from the hospital or your nurse.
I started out with the Adapt rings, and did not find they worked well for me, though I no longer remember what the problem was. The best of all the brands I tried was Eakin, I think Convatec distributes them; ask for samples. There is a regular and a slim, the slim worked better for me.
I use the Hollister two piece convex, and have not had a problem with the flange detaching from my skin, unless there is a leak. I take it yours are coming loose on their own? If that is the case, I don't have too much advice, except to be sure you skin is well-rinsed, no soap residue, and thoroughly dry before you apply the flange. Like cupcake, I use the hair dryer to ensure the skin is dry, and give it another blast after it's on.
I no longer use the Eakin Seal; I ran out and Shoppers was out of stock. My next two changes were the cleanest ever, so now, all I use is a Cavilon wipe, the flange and bag, and lubricating deodorant. I'm only using the deodorant because I bought a big bottle to help with pancaking, but it doesn't seem to help with either pancaking or odour (or maybe I have become blind to odour). The Cavilon is intended to protect the skin from the effects of applying and pulling off the adhesive on the flange. I find my skin gets pink if I forget it.
Hope this helps -- ask away if you have more questions!
Partial colectomy in January 2014 following diverticulitis and large abscess.