If there is one thing that people hate to have happen with an ostomy, it’s that it can break sometimes. It’s really embarrassing, and while a lot of ostomates notice that routines are better for leaking, the problem is not everyone manages that, and usually, after you get a surgery, your stoma will changes a bit over time.
You should figure out the exact issue of what’s going on that causes the leaks, whether it’s bodily creases if the stool is being pushed from the belly, or maybe there is stool that’s being pushed underneath the exact spot. A lot of ostomates deal with this, and it can be a bit embarrassing, but by properly understanding and utilizing this, you’ll be able to prevent this from getting worse as well.
First, check the Wafer
If you’re curious about what the problem is, you may want to first check to ensure that you’re using the right wafer based on the stoma and even your body. At first, you may use a flat wafer, and that may work for a bit, but as the stoma changes after surgery, it can start to come off, and that’s where the leakage and problem arises.
In that case, try convex wafers, and see if that’ll work for you. It may not be the same for you as it is for other ostomates, so understand that it can be a bit trial-and-error and a little frustrating, but it can be good as well if you’re curious about what exactly the problem is.
Check the Opening Type
You need a wafter that fits the stoma opening as well. If the wafer is too tight near your stoma area, the stool can get caught under, and then it causes the leaks. Too small of wafers are also dangerous because there is a chance that it may “strangle” the stoma too.
Now, if the hole is a bit too large, this can actually affect your skin, since it’s then in contact with the stool and excrement itself. Some people may choose to cut their own wafers, or they can get pre-cut ones that fit the stoma. This is best done if you already have healed from your stoma surgery.
Skin Issues
Another big thing is to check the skin integrity too. Good skin integrity improves the seal, and if you notice that there is a leak, check the skin right away, and clean it immediately. Some people may push it and ignore it because they’re busy and don’t have time to deal with this.
But if you notice that your skin is affected by this, follow this and ensure that there are proper changes. You also check as well to ensure that you’re not wearing the barrier for too long, since it can be a big problem as well.
If you notice that there is problems with the skin health too, monitor it. Don’t rip off the appliance or anything, but instead gently remove, using remover wipes as you need it, and make sure it’s cleaned with soap and water afterwards.
Empty it Enough
Finally, a good way to ensure that you don’t have leaks is to empty the bag before you feel it getting too full. About 2/3 full is the best time to change it, and if you notice that there is still leaks going on, consider using barrier strips for this, and from there hold it in place together that’ll help you with properly holding it in place, so that it doesn’t get peeled off, and it stays.
Stoma Care Corner 