Have a near flush or flush stoma? Using a one piece and paste? A neat tip.
Posted: 2025-02-10 05:55:21
So the problem I've found with a one piece and using no-sting or any paste really, is that it doesn't have time to properly set up right next to the Ileostomy stoma.
So output seems to attack or push the paste away and there's this always nagging little leak wounds right next to the stoma.
So I've stumbled upon a solution provided these normal recommended procedures are followed
1: Wash area around stoma with nothing but a washcloth and water. If there is stuck on paste it can be sideways scraped off with a wood or plastic stick. Don't use fingernails as that can scratch the skin.
Apply nothing else like ointments, lotions that will interfere with bonding or use soap that will dry out the skin. Anytime stoma powder is used it has to be covered and secured with spray skin protectant or else nothing binds to it. Skin Protectant is an adhesive too and works to hold paste, rings or wafer adhesive to the skin better. Adhesive needs clean, dry, oily free and dust free skin with normal natural skin lubricant balance. Not too dry nor over lubricated.
2: Dry the area well, blow drying helps a lot and quicker. If any spew gets on the skin, repeat cleaning process.
3: One grain high stoma powder on wounds only if needed, if possible. Dry brush and blow dry on high.
4: Spray Skin Protectant around the stoma and allow 30 seconds to dry. Repeat but also cover entire adhesive area. Wait another 30 seconds and blow dry the area well. Check for dryness.
5: With ones one piece wafer hole cut to the shape of ones stoma, oval if oval, apply lotion* to the inside bag through the wafer hole. This will prevent the oozed out no-sting paste from sticking to the bag and it won't stick to the wet stoma. So it will erode away or later flake off into the bag and out. Leaving a clean cured edge around the stoma.
6: Apply a full bead of no sting paste right next to the stoma. Then another full bead around that one. The object is to cover as much surface area of the flat wafer part as possible.
7: Peel and press the wafer on pressing the paste around the stoma and some will certainly ooze into the wafer hole and over the low or flush stoma. The object is NOT to cover the stoma hole or cover the wafer hole completely. Again, as output comes out it will erode away the uncured paste giving time for the paste on the skin to completely cure. Also the stoma tends to protrude some and that will also assist in removing the oozed out paste. The objective is to maintain some pressure around the stoma to keep the paste from separating from the skin if the stoma starts spewing right away.
8: After laying on ones back, the best way to put the bag on so paste doesn't run down, is wait a few hours until you can feel the paste feeling rubbery. Then put on your otosmy belt one finger underneath tension and you can go vertical. But keep and eye on the paste in the wafer hole that it doesn't drip down. Because if it running then it could be running down elsewhere like where it's on the skin and you don't want that. For some reason paste either comes in slightly different degrees of setting or atmosphere conditions perhaps has an effect.
9: Apply extra large barrier strips all around on the wafer flange, this acts as a blowout container if one should happen..
10: Belly button issues can be solved with toilet paper filling, a small piece of thin cardboard and a 1/4 cut extra large barrier strip. Strengthens the area. This is done before the paste is applied.
11: Bags can be washed out with two drops of antibacterial dish soap and a water bottle. Don't squeeze the bag. Lay down to get it up near the top or to massage loose pancaking around stoma. This done at nearly every bag dump will keep the smell down. Stay away from seafood and asparagus.
12: Get a copy of the guide
Ileostomy Nutrition Therapy from the Academy of Nutrition and Dietetics
Only available from nutritionist or dietitian specialist in otosmy care. This one can also help
https://www.ostomy.org/wp-content/uploa ... nGuide.pdf
Both will teach what foods and drinks can cause problems for those with an Ileostomy. Especially clogs, gas and diarrhea.
Another thing caffeine, chocolate, deep fat fried, fatty salted, heavily seasoned or alcohol anything causes diarrhea. Coffee can be especially bad because it's makes the output leak burns far more severe than normal. Normal leaks are like a small annoyance type of pain, but with coffee it's like burning acid and you want to immediately rip the wafer off.
I typically change my wafer before bedtime after a nice hot shower and sufficient drying time. So by morning I have a good bag on that the paste has had ample time to set without running down. I only sleep on my back. I also slight weaken the wafer horizontally some before applying so it bends with my belly fold. I'm using a one piece soft convex because of the near flush stoma.
I also take lukewarm showers with a bag on, draping a plastic bag over the belt and waterproof tape along the top of the wafer adhesive. Because sweat will cause the wafer adhesive to detach. I get the normal 3 day product wear time with a one piece, two piece systems can typically last 5-7 days for the wafer. Thing is my skin isn't fully healed yet around the stoma (getting there now with this new approach) and I didn't like two piece click coming apart unexpectedly due to the belly fold.
I also only eat two taco sized nutritious portions during the day a few times and only two small cookie like snacks after 3pm. Not eating too much food at once and certainly nothing that causes diarrhea or else it all gets flushed out. No big meals at night, just small snacks to keep hunger away. Or else the bag overfills when sleeping and can burst or blowout causing a huge mess.
Dehydration is also an issue for those with an Ileostomy. I should be urinating normally a lite yellow or clear. If no urine or dark in color combined with other symptoms of dehydration means one has a problem. I drink only plain water 99% of the time and an occasional electrolyte drink to replace electrolytes. But milk, a glass of fruit or veggie juice occasionally is good too. I've found I can get very dehydrated drinking soda, the caffeine causes diarrhea and the water is tainted thus doesn't help the body rehydrate.
I do take a good multivitamin when needed or every few days, it and other meds can cause urine to be dark.
Certain pills that are designed to bypass the stomach and dissolve later in the intestines or colon can cause a clog. So I make sure of this to my doctor about my Ileostomy.
Another piece of advice I've found is to go light on the sugary or quickly converted into sugar type foods like rice, pasta, breads, starches, potatoes, alcohol etc. because these can cause diarrhea and dehydration issues. So I tend to limit these in small amounts during each meal.
Leafy greens can cause diarrhea issues, solid veggies and fruits can cause problems or clogs. Pretty much everything should be rather soft or mushy. Why it's important to get and read those guides if one has an Ileostomy.
So I hope all this helps anyone out there! I've come a long way since a year ago when I first started posting here and wished someone would have given me many of the insider secrets I'm giving you now.
Note: This tactic or advice may not work for everyone but it is an approach that may work in your situation.
*Because petroleum jelly can come in very thick variations and thus cause the paste to stick to the bag, lotion is used now instead.
So output seems to attack or push the paste away and there's this always nagging little leak wounds right next to the stoma.
So I've stumbled upon a solution provided these normal recommended procedures are followed
1: Wash area around stoma with nothing but a washcloth and water. If there is stuck on paste it can be sideways scraped off with a wood or plastic stick. Don't use fingernails as that can scratch the skin.
Apply nothing else like ointments, lotions that will interfere with bonding or use soap that will dry out the skin. Anytime stoma powder is used it has to be covered and secured with spray skin protectant or else nothing binds to it. Skin Protectant is an adhesive too and works to hold paste, rings or wafer adhesive to the skin better. Adhesive needs clean, dry, oily free and dust free skin with normal natural skin lubricant balance. Not too dry nor over lubricated.
2: Dry the area well, blow drying helps a lot and quicker. If any spew gets on the skin, repeat cleaning process.
3: One grain high stoma powder on wounds only if needed, if possible. Dry brush and blow dry on high.
4: Spray Skin Protectant around the stoma and allow 30 seconds to dry. Repeat but also cover entire adhesive area. Wait another 30 seconds and blow dry the area well. Check for dryness.
5: With ones one piece wafer hole cut to the shape of ones stoma, oval if oval, apply lotion* to the inside bag through the wafer hole. This will prevent the oozed out no-sting paste from sticking to the bag and it won't stick to the wet stoma. So it will erode away or later flake off into the bag and out. Leaving a clean cured edge around the stoma.
6: Apply a full bead of no sting paste right next to the stoma. Then another full bead around that one. The object is to cover as much surface area of the flat wafer part as possible.
7: Peel and press the wafer on pressing the paste around the stoma and some will certainly ooze into the wafer hole and over the low or flush stoma. The object is NOT to cover the stoma hole or cover the wafer hole completely. Again, as output comes out it will erode away the uncured paste giving time for the paste on the skin to completely cure. Also the stoma tends to protrude some and that will also assist in removing the oozed out paste. The objective is to maintain some pressure around the stoma to keep the paste from separating from the skin if the stoma starts spewing right away.
8: After laying on ones back, the best way to put the bag on so paste doesn't run down, is wait a few hours until you can feel the paste feeling rubbery. Then put on your otosmy belt one finger underneath tension and you can go vertical. But keep and eye on the paste in the wafer hole that it doesn't drip down. Because if it running then it could be running down elsewhere like where it's on the skin and you don't want that. For some reason paste either comes in slightly different degrees of setting or atmosphere conditions perhaps has an effect.
9: Apply extra large barrier strips all around on the wafer flange, this acts as a blowout container if one should happen..
10: Belly button issues can be solved with toilet paper filling, a small piece of thin cardboard and a 1/4 cut extra large barrier strip. Strengthens the area. This is done before the paste is applied.
11: Bags can be washed out with two drops of antibacterial dish soap and a water bottle. Don't squeeze the bag. Lay down to get it up near the top or to massage loose pancaking around stoma. This done at nearly every bag dump will keep the smell down. Stay away from seafood and asparagus.
12: Get a copy of the guide
Ileostomy Nutrition Therapy from the Academy of Nutrition and Dietetics
Only available from nutritionist or dietitian specialist in otosmy care. This one can also help
https://www.ostomy.org/wp-content/uploa ... nGuide.pdf
Both will teach what foods and drinks can cause problems for those with an Ileostomy. Especially clogs, gas and diarrhea.
Another thing caffeine, chocolate, deep fat fried, fatty salted, heavily seasoned or alcohol anything causes diarrhea. Coffee can be especially bad because it's makes the output leak burns far more severe than normal. Normal leaks are like a small annoyance type of pain, but with coffee it's like burning acid and you want to immediately rip the wafer off.
I typically change my wafer before bedtime after a nice hot shower and sufficient drying time. So by morning I have a good bag on that the paste has had ample time to set without running down. I only sleep on my back. I also slight weaken the wafer horizontally some before applying so it bends with my belly fold. I'm using a one piece soft convex because of the near flush stoma.
I also take lukewarm showers with a bag on, draping a plastic bag over the belt and waterproof tape along the top of the wafer adhesive. Because sweat will cause the wafer adhesive to detach. I get the normal 3 day product wear time with a one piece, two piece systems can typically last 5-7 days for the wafer. Thing is my skin isn't fully healed yet around the stoma (getting there now with this new approach) and I didn't like two piece click coming apart unexpectedly due to the belly fold.
I also only eat two taco sized nutritious portions during the day a few times and only two small cookie like snacks after 3pm. Not eating too much food at once and certainly nothing that causes diarrhea or else it all gets flushed out. No big meals at night, just small snacks to keep hunger away. Or else the bag overfills when sleeping and can burst or blowout causing a huge mess.
Dehydration is also an issue for those with an Ileostomy. I should be urinating normally a lite yellow or clear. If no urine or dark in color combined with other symptoms of dehydration means one has a problem. I drink only plain water 99% of the time and an occasional electrolyte drink to replace electrolytes. But milk, a glass of fruit or veggie juice occasionally is good too. I've found I can get very dehydrated drinking soda, the caffeine causes diarrhea and the water is tainted thus doesn't help the body rehydrate.
I do take a good multivitamin when needed or every few days, it and other meds can cause urine to be dark.
Certain pills that are designed to bypass the stomach and dissolve later in the intestines or colon can cause a clog. So I make sure of this to my doctor about my Ileostomy.
Another piece of advice I've found is to go light on the sugary or quickly converted into sugar type foods like rice, pasta, breads, starches, potatoes, alcohol etc. because these can cause diarrhea and dehydration issues. So I tend to limit these in small amounts during each meal.
Leafy greens can cause diarrhea issues, solid veggies and fruits can cause problems or clogs. Pretty much everything should be rather soft or mushy. Why it's important to get and read those guides if one has an Ileostomy.
So I hope all this helps anyone out there! I've come a long way since a year ago when I first started posting here and wished someone would have given me many of the insider secrets I'm giving you now.
Note: This tactic or advice may not work for everyone but it is an approach that may work in your situation.
*Because petroleum jelly can come in very thick variations and thus cause the paste to stick to the bag, lotion is used now instead.