Questions about managing a Stoma Pouch

Posted by gordy6898p @gordy6898p, Nov 10, 2023

During the past several months I've had an indwelling Foley catheter and leg bag....

Apparently external stoma pouches have to be frequently drained, every 2-4 hours from what I gather.

It should be easy to simply connect the stoma pouch to a leg bag with a short length of tubing.... perhaps extending drain intervals to 6-8 hours.

Would this be a practical solution?

Interested in more discussions like this? Go to the Ostomy Support Group.

@lauramae3

fortunately, our Ostomy Clinic is relatively close. We had been using the Coloplast Brava Moldable Ring which apparently was too high and didn't move the feces downward enough causing leakage. The new Hollister Adapt CeraRing Slim #8815 has now been used without any breakthroughs. The Coloplast can still be used by cutting it in half and remolding it to the proper shape. Good luck

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What do you mean the moldable ring was too high? Do you mean it was too thick? Also when you talk about cutting the Coloplast in half are you doing this to make it thinner? Don't understand why you would cut in half etc. I will try to get a sample 8815 to try later. My Stoma is 1".

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@harrison221

What do you mean the moldable ring was too high? Do you mean it was too thick? Also when you talk about cutting the Coloplast in half are you doing this to make it thinner? Don't understand why you would cut in half etc. I will try to get a sample 8815 to try later. My Stoma is 1".

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It was too thick - making it higher. (thicker) By cutting the Coloplast in half you then remold it to the size of the stoma so it will fit the stoma and will be thinner . Another benny if you have some on hand, you get more mileage as one will be used for two uses. I forgot another important thing apparently you must use the belt - it attached to the pouch and keeps it in one place - stable. I haven't had to replace any emergency breaks since I followed this advice. Am going to Ostomy clinic tomorrow so if I get any additional advice, I'll pass it along.

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Thanks. Is thinner barriers better than thicker ones.

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@lauramae3

fortunately, our Ostomy Clinic is relatively close. We had been using the Coloplast Brava Moldable Ring which apparently was too high and didn't move the feces downward enough causing leakage. The new Hollister Adapt CeraRing Slim #8815 has now been used without any breakthroughs. The Coloplast can still be used by cutting it in half and remolding it to the proper shape. Good luck

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That's what I do...cut the Eakin ringdown to thin it out.

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@harrison221

Thanks. Is thinner barriers better than thicker ones.

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I would guess that it depends on the size and height of the stoma. Only an Ostomy nurse could answer that question. I'm so new at this that any question and answer is worth hearing.

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@lauramae3

I would guess that it depends on the size and height of the stoma. Only an Ostomy nurse could answer that question. I'm so new at this that any question and answer is worth hearing.

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Thank you.

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had on Ostomy Clinic appointment and the nurse confirmed the 1-piece pouch and thinner ring is the most appropriate. However, on a lighter note, the pouch they installed with side adhesives failed after about 6 hours. There I was again installing another pouch. No one is perfect in this endeavor.

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@harrison221

Not yet. There are no Stoma nurses here. I've been to the Wound Center which is about 50 miles from me twice in the last month but this is a situation that I have to solve myself. I'm trying different Barrier Rings from different companies and hoping that I will reach a solution. If I can't solve the problem I will have to go back to Mayo in Jacksonville which is 300 miles away to see my Stoma Nurse there. Thanks for asking.

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@harrison221, I see that @lauramae3 and @piki posted several helpful tips and confirmed with her ostomy nurse. Did you try a thinner barrier?

You might also want to bring the question to the next Ostomy Monthly Support Group Meeting on Zoom Dec 3. See details here:
https://connect.mayoclinic.org/event/ostomy-monthly-support-group-meeting-1-7340fecd/
All welcome.

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Has anyone heard anything about a product called Confiplus which is supposed be coming to the United States in December It is supposed to catch any leakage you might have and I guess avoid any embarrassment I have put my name in to receive a sample and more information. No matter what I try I still get the occasional leakage There are times when the stool pancakes instead of going in the bag I use lubricant have blown in bag to no avail It happens when stool thickens I have to take a colace to get back on track but I have no warning when it is going to happen It just pushes the bag off so I am anxious to see what this product is about and if it works If anyone has any other tips please let me know Also I use Brava protective seal THIN instead of messing with cutting rings The nr at Edgepark is 6212035

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@harrison221

What do you mean the moldable ring was too high? Do you mean it was too thick? Also when you talk about cutting the Coloplast in half are you doing this to make it thinner? Don't understand why you would cut in half etc. I will try to get a sample 8815 to try later. My Stoma is 1".

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I succesfully cut my first moldable ring - although it wasn't pretty, it was thinner. Today is day #2 and the pouch has not failed.

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