- Allow 30 minutes uninterrupted bathroom time, rushing usually courts problems. Make sure your skin is fully dry when you apply the new pouch.
- Even a little urine coming out will not allow the appliance to adhere to the skin well and leaks will happen.
- Do not use creams on the skin as these can interfere with adhesion.
- Warm the wafer with a hair dryer or tight against your body prior to applying it.
- Make sure you aren't cutting the hole too large. If your stoma bag does not fit snugly around your stoma, it can cause leaks which affect adhesion and harm the skin, which in turn makes it harder to get a good seal.
- Barrier sprays are important right now to avoid skin irritation. (These have caused irritation for Anyu though)
- Use a tampon or piece of gauze over the stoma while you wipe around it and make sure it is completely dry before you apply the bag.
- Change bag first thing in the morning before having anything to drink at all.
- If still not adhering, shower, but don’t use soap, gel or anything on bag change day, just warm water.
- Pat, don’t rub, the skin around the stoma. Then towel off everywhere else.
- Place the flange with it’s backing under armpit to warm the adhesive up. While it is there use a small battery fan to blow dry the skin around the stoma to ensure it is bone dry.
- Make sure to wipe up any drips, then peel the backing off the flange and fit.
- Press it all around for a good 70 seconds to ensure a perfect adhesion, wipe it quite hard with a towel and once satisfied that it is secure, fit and lock the bag.
- Drink less water on bag change days...just to keep pee coming out as best you can.
- Use a barrier strip on the side that has a tendency to leak.
- Do as much prep work to the new appliance like getting the barrier ring set in place, the adhesive remover and skin barrier pads open and ready to use. Use plain water, no soap to clean after removing the appliance. It's critical to keep it dry until the new appliance is on.
Other solutions from FB post on 6/13/21 regarding night time leaks
Hi Everyone. I hope you're enjoying your Sunday!
First off, Mom (84 years old) is doing well and coming along great after having RC/IC on April 28th. She's had her rough days with not drinking enough water and ending up in hospital for a few days, but she's on the mend again. The problem is...the darned bag leaking all the time!
She's been using the Hollister bags with convex wafer. She's has small dimples on the sides of the stoma and beneath it. We were putting paste in there to build it up. I even had it last 5 days once. But usually 3-4 days. Recently, though, she's been leaking a lot at night. Every other night.
She's hooked up to Bard night bag and we fasten it to her leg with a leg strap. From what I saw a few times, she wakes up with the bag all twisted and the urine doesn't drain into the night bag so has no where else to go but out through the wafer. I don't know what is going on because she doesn't wake me or anyone who is staying over when it happens. So I don't get a chance to see what's going on when it wakes her up. She even pulled the adaptor off one night and forgot to close the pouch. She was soaked! She just covers the bed with chocks and goes back to sleep until morning.
So...anyone have any suggestions? Maybe a different night bag. How do the ones from Hollister work in terms of twisting at night. She sleeps on her back for a lot of the night but does turn a lot to either side.
Any help would be appreciated. Thanks!
- I use the Hollister 2 piece with the Bard night bag. Run some really hot water through the night bag then hang the bag from the shower hook and it should straighten the tubing.
- Regarding securing new bags over dimples, I try work very slowly securing the bag while holding my skin very taut smoothing out as I go along.
- Does she use a belt? Using a belt secures it. Down to zero leakage since using one at night. I also use Hollister.
- Sometimes 2 leg straps are better than one.
- Instead of an overnight pouch, I use a rigid container specifically designed for the purpose. When hooking it up to my ostomy pouch, I verify that there no twists in either the 6' line or my ostomy pouch. Always have a small amount of urine in the pouch when hooking up for the night and that it flows out when connected. This will ensure that flow occurs and does not build up in the pouch and ultimately leak. The tubing connecting the two is at least 6' feet long, so I place the jug in the floor beside the bed. To ensure no accidents occur, I place the jug inside a mop bucket.
- Hollister bags always leaked on me. I now use Convatec moldable wafers & I have a dimple too. The moldable wafers are sort of like silly putty & can be shaped to fit the contour of the skin around the stoma. Convatec will send you samples to try & they come in convex wafers.
- She needs to have some urine in her bag when she connects up. It is best to be lying down in the bed like she sleeps before connecting. Then gently push the urine in the bag & break air lock. If you don’t, the urine won’t drain into the night bag & cause a leak during the night.
- Urine can eat through paste. Many ostomy nurses don’t realize that. Nurses that have ostomies themselves will tell you that.
- if I stand up beside the bed & connect, when I lie down. I may still have an air lock. I can break it but I must wait a bit for more urine to collect & then push it out breaking the air lock.
- Try using Eakin ring for the dimples.
- I had a similar problem and my stoma nurses gave me some sort of product to put over and the dimple healed over. I think it was duoderm sheets which you can purchase from amazon and cut to cover the area needed. The pouch wafer can go directly over it. I also had a lot of trouble with Hollister convex and actually all of the Hollister pouches I tried. I now use Coloplast Sensura Mio Flip Click, and have not had a single leak since I switched to them. The Coloplast night bag has a longer, more flexible tubing than the Bard night bags. Using that and maybe having her underwear over it, or some light shorts (feed the tube up the leg to the pouch) may help.
- Run the adaptor from pouch to night bag tub under some hot water to get it soft so that it will be easier to slide onto that Coloplast adaptor if you use one.