Need advice about stoma which I have had since January this year

Hi Ian, 

Thank you so much for your help, I have tried some of the tips and am feeling more confident.

I have also sent for some of the samples that you mentioned.

Take care and keep safe.

Phoebe x

Hi Phoebe 

Its absolutely no trouble at all to give you help,  we all need a bit of a kick start at the beginning to boost our confidence.

You know that I am here all the time 7 days a week from Early  morning to late in the evening so just give me a shout out if something else needs attention.

Here to help to make Living your Life with a Stoma much easier.

Take care.

Ian

CC

Hi Ian, 

following your advice I added skin barrier wipe, skin barrier cream, brava elastic tape and protective seals to my latest order as I had experienced some more leakage. So yesterday evening I added the protective seal which I placed before the stoma bag and then the elastic tape to hold the bag in place when there were noticeable bulging at the base of the bag. My husband helped me with it all and it seemed safe so I went to bed. I woke at 4am with poo everywhere. It seems the 'output' didn't travel down into the bag as it always does but seemed to have got stuck right around my stoma and it found the only way out which was up and to the side.

i was devastated thinking the new efforts i had made would work.

do you think I possibly ordered the wrong size? I ordered 34mm x 2.5mm.  My stomas are cut to 35. I don't see how else the poo was just stuck at the top.

I obviously don't want to use one again, if I ordered the wrong size will Coloplast charter just exchange them for me?

sorry to bother you with poo this early on a Saturday, your help would be so appreciated.

 To be honest I feel like I'm going backwards, I've been applying my own bags since I got out of hospital on 15th Feb this year. No problems for ages now it's happening more frequently, I don't think that I am doing anything differently but it is making me feel like I have completely forgotten how to attach the bags.

thanks

Sorry to be a pain but I have not received a response to the above message.  Since writing it I have had yet another leakage, I will contact my stoma nurse about it today but I had really wanted your advice.

thank you

Hi Jennylou

Sorry for the delay, I'm in hospital myself and some days are better than others to answer depending on the daily medication changes.

It sounds like you've experienced Pancaking.

Pancaking is a kind of ‘vacuum’ where the inside of the pouch sticks to the stoma. This may lead to the output not dropping down into the pouch and building up on top of the stoma. Lubricating the inside of your pouch can help output to travel to the bottom of the pouch. See below for recommendations.

Ian, I am so sorry to hear that you are in hospital. I hope that they'll sort you out.  The last thing you need is me whining that you didn't reply. Thank you for your detailed message. I can't see how I can mould the protective seal when it is sticky on both sides.  I also don't recall getting a filter cover but I will watch the video.

please accept my apologies for being so pushy, it wasn't that urgent. And also accept my very best wishes for a speedy recovery 

JLou

Don't worry about asking me questions, I'm just taking a little bit longer than usual to answer.

Protective Seals normally come Circular shaped with a little hole in the middle they are made to stretch in all directions, and the I fit mine is  by

Pulling in all directions to enlarge, the I place the new enlarged hole along the top of my stoma and gently stretch it until the whole of top is nice and snug, then I move to the sides and pull each side out then gently release and let the seal find a snug position against each edge, finally the bottom edge you will  has found its position and by checking with your mirror you will be able to check if there are any gaps or any you want to sort out you can lift the seal and move it as you want. Gently rub your finger around the seal to complete adhesion and you are ready to fit pouch.

FILTER COVERS

In every box of pouches you receive you will find a sheet of seal adhesive labels, these are the filter covers.

I'm sure you doing well with your stoma management you're just have a bit of a wobble which we all experience, we never remember the good changes but the bad ones always stick in our mind.

Anytime just ask any questions, I will get back to you.

Please forgive me for any misspelling, typos or grammar mistakes haven't run it through the checker.

Ian

Stoma Support CC

BIG TIP

Ask your supplier if the supply

Disposable Bed Pad

Washable bed Pads

Any bedding protectors.

I get 30 disposable bed pads per month

and 1 washable bed pad per year

and I've received other bedding items in the past.

MY MOTTO If I don't ask I don't get and I do!.

I have found the filter covers, not sure what to do with them but I do have them. 

Regards the protective seal the hole seems to be too big for my stoma, certainly don't need to stretch it to make it bigger. Do they come in different sizes?

very good idea about the bedding items, I will look into it.

I've had a tough few days with a leak five days in a row. 

My hubby suggests maybe I need a different stoma for what may be my more delicate skin. I said don't be daft as I have boxes to use and they won't take them back 

Hi Jennylou

I call these things donuts and mine come from Dansac. They come in 3 sizes. An alternative way to fit them is to make a single cut so you can open up the seal and wrap it round the stoma. Means less moulding needed that way. Might be worth giving it a go...

filter covers are placed over charcoal filter.

Can I ask your stoma size and the protective seal you are using.

Don't worry about excess stocks I'll give you an address to donate them to

Ian

Stoma Support CC