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This is my third stoma and unfortunately the stoma sinks in and there is a huge crease that goes around the whole stoma. It's making it very difficult to get a good seal and prevent skin break down. Any suggestions of what I could do to lessen the amount of skin breakdown? I do use powder and adhesive.

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Hi Ashley, I use bags with convex wafers, barrier rings that "turtleneck" around my stoma, and bag openings that are 1/8th smaller than usual and it helps to keep the skin around my stoma clear. I also change my bag every four days (earlier if I start to itch.) I tried using sticky barrier strips to fill in my skin creases, but they swelled when exposed to moisture and blew the barrier ring right off my skin causing a blowout.

My stoma nurse has me changing every other day because of the way mine is positioned. I have to use too many rings and things underneath it if I try for longer weartime. All of that is too uncomfortable for me. 

I am using a one piece convex appliance that is cut to size and easy to put on and take off. My current stoma is my 3rd and hopefully the last one I need. Since it was created 2 months ago I am guessing it is done changing. I don't know when yours was created but maybe it is still adjusting down in size.

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