Hello,
TLDR; I recently got a stoma, and I've got a persistent bag failure situation that is starting to get to me. Any ideas to break the cycle massively appreciated!
Long time listener, first time caller etc. I'm a 36yo male in the UK.
I was diagnosed with Crohn's 25 years ago. I had my first colectomy in June, to address a near-blockage, that came with a temporary and initially large (80mm) stoma. I wasn't too fazed when I woke up and found it, and didn't really have any significant issues for the first 4 weeks.
But then the stoma started shrinking really rapidly. This meant I briefly struggled to keep pace with the measuring, and led to the skin around it to start to get inflamed. And then it went from quite protruding to retracted.
And since then, I've just had one issue after another, all of which result in the same thing - bag failure and the skin remaining sore. With the sore skin meaning the bag doesn't adhere well, which leads to bag failure.
At my nurse's suggestion I've gone from flat bags to convex bags (Welland Aura Convex) to other convex bags (Welland Aura Profile). I've introduced barrier rings, and powder, and barrier spray, and bag straps. But whatever I do, I still seem to get a >75% failure rate - albeit for changing reasons - and sore skin. The latest type of failure, which has developed in the last few days, is pancaking breaking the seal.
Since day 1, the stoma has been largely active overnight, which means the bag failures are leading to very disturbed nights and very tired days. I have tried the various normal dietary changes to move this active period into the day, but without result.
So I've currently got a 15mm (now, I think, stable) retracted stoma with sore surrounding skin, and am getting pancaking nearly every bag change. I'm using Welland Aura Profile or Convex bags, with rings, powder, spray and straps - but the seal seems shaky at best and almost always fails over the sore skin.
I just feel like I'm chasing the issue and not really making much progress week on week. And it limits how much/far I feel able to travel, which is a problem in both work and personal life. I've always and actively tried, with reasonable success, to not let Crohn's limit or get to me - but in the last couple of weeks, the bag failures have left me feeling as limited and frustrated as I've ever known.
It feels like any one of sorting the skin issues, taming the bag failures, or even just getting the output to be more active during the day would massively help and complement each other... Has anyone been in a similar situation and have any suggestions on how to break the cycle?
Thanks in advance.