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Crohn's Disease Forum » Surgery » Stoma Subforum » Extending bag wear time...


03-13-2013, 12:44 PM   #1
Minionaire
 
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Extending bag wear time...

Hi all,

I am after some advice. I really want to use a 2 piece system to cut down on how often I change the seal around my new stoma. I am using a Hollister 55mm system at the moment but am only getting 1 day of wear before the seal goes, meaning I'm currently changing both bag and wafer daily.

Can you provide any advice on how to increase the life of the seal on the wafer?

Many thanks,
Dave.
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Dx - Crohn's colitis, 2005

Pan-proctocolectomy and end ileostomy surgery. Alf the stoma born 23rd Feb 2013.

Re-Dx - Ulcerative Colitis, Mar 2013 (Post surgery pathology on my removed colon concluded my "Crohn's" was actually UC!).

My surgery blog: http://davesbelly.blogspot.com
03-13-2013, 01:29 PM   #2
2thFairy
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Have you tried other brands? Many people don't do as well with Hollister as they do with other brands.
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Ulcerative colitis

Total colectomy with ileostomy featuring Sideshow Bob since January 2012

"The colon seems an unlikely candidate for dramatic effect, but now and then it serves that purpose well." The Associated Press Guide to Punctuation
03-13-2013, 01:31 PM   #3
2thFairy
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You might try using a seal of some sort: Eakin, Salts, Coloplast (and others) all have seals of one type or another that many people here have had success with.
03-13-2013, 02:05 PM   #4
Nyx
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I use the Coloplast SenSura 2 piece click system, and I get about 7 days out of my flanges and bags. Give the companies a call and get some free samples of things. They're all very helpful and more than willing to give you all kinds of goodies! The numbers are in a sticky in this forum.

Good luck!
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Cindy

Crohn's Diagnosis: May 2006
Current meds: none
Surgeries: Colostomy, December 2009

"Never trust a fart." Jack Nicholson, The Bucket List

Oscar is awesome! Loving my life with my stoma (with a hint of poo)!!

03-13-2013, 06:46 PM   #5
annawato
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Paste could also help. I use the convatec one. A bit stingy on raw skin but only for a minute or so.
Is it going because of leaking under it or is it just coming unstuck?
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Anna

you name it, i've tried and failed it! currently on- waiting to see whats new and reducing pred
temp. ileostomy reversed feb 2011, new ileostomy, nov 2012
4 resections plus removal of adhesions etc, recurrent intestinal abscesses
lyme disease, depression, sacroileitis, chronic pain and......Crohn's..........
03-14-2013, 03:06 AM   #6
Minionaire
 
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Is it going because of leaking under it or is it just coming unstuck?
My feeling is that it is leaking underneath that is the problem. This then works its way radially outward. By the time 24hrs has passed the seal is just about failing at the edge of the wafer. I'm a little worried about possible skin irritation too although so far my skin looks ok and is not sore. It is very itchy by the end of the 24hr period though.

I have an appointment today with my Stoma Nurse so hopefully I can get some hands on advice too.
03-14-2013, 05:19 AM   #7
2thFairy
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Sounds like a seal or paste would do the trick. Definitely ask your stoma nurse about that.
03-14-2013, 06:05 PM   #8
smallfry
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A flange extender might help too. brava coloplast has some. The Sensura 2 peice from coloplast is good with the brava strip paste. Or the Assura 2piece line really really sticks on me, with the brava strip paste as well. Good luck with the stoma nurse!
03-15-2013, 08:02 PM   #9
annawato
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I like the brava elastic flange extender. Flange extenders are good for some extra security but don't rely on them if you are leaking underneath because all it does is extend the time your skin is being irritated by the output.
When you remove your flange look at where the output has been, ie where it has leaked, and then you know to put extra paste there. I find paste essential for stopping leaks so hope it works for you too.
03-17-2013, 06:04 PM   #10
Welshmammy1990
 
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I use hollister medical adhesive and I have stuck my fingers together with it it's very powerful stuff
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Became ill 22nd December 2011

Emergency operation 24th march 2012
Diagnosed with crohns april 2012


Permanent illeostomy, mucus fistula, crohns disease

Medication
Loperamide
Lansoprasol
Ferrous sulphate

Predisinone for flare ups

Anafalctic reaction to azathrioprine

The thing that nearly killed me on the inside saved my life on the outside
03-17-2013, 06:06 PM   #11
2thFairy
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I use hollister medical adhesive and I have stuck my fingers together with it it's very powerful stuff
I'll have to keep that in mind!
03-18-2013, 12:43 AM   #12
annawato
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I'll have to keep that in mind!
There is all sorts of mischief we could get up to!
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