Ann (aqx99) is giving you sound advice. Especially regarding the use of ostomy paste.
If you are applying a ring of ostomy paste on the surface of the wafer, stop. Cease and decist. Ostomy paste has no adhesive property. It is not Elmer’s glue. Ostomy paste will add to leaks by provide a ready conduit for liquid ileostomy output to undermine the wafer.
You are not alone. Erroneous use of ostomy paste is one of the most frequent pit-falls encountered by individuals new to an ostomy. Almost every new patient ostomy “gift bag” includes a sample of stoma powder and ostomy paste. Neither are essential accessory items. Most people do fine without either.
Use of a barrier ring is the best protection against water leaks. Think of a barrier ring as a gasket in a faucet. Barrier rings encircle the stoma and provide a ready resistance to digestive enzymes that can erode the normal hydrocolloid wafer material. Barrier rings have different names depending on the manufacturer. The most popular is the Ekin Adaptic Ring (by ConvaTec). Other barrier rings go by the name of Brava Adaptic Ring (by Coloplast) and Adapt Ring (by Hollister).
The process of discovering the optimal Ostomy pouching system and accessory products does take time and detective work. Feel free to use the support forum of the United Ostomy Association of America (UOAA). I saw your thread on the UOAA forum asking for comments on how to keep the pouch close to the body for running and sports. Feel free to ask more questions of the members of the UOAA. It is a nice group of individuals. I have learned more from the members of the UOAA then from any ostomy nurse. There is something to be said for the wisdoms learned from living with an ostomy and being an end-user of Ostomy products.
Calling different manufacturers and requesting samples remains the best way to try products in finding the best system for you. Each person has a unique abdominal topography and skin characteristics. Each manufacturer has its own propriety “recipe” that composes the hydrocolloid matrix. Calling into a manufacturer, you will be greeted by a support person who has ostomy awareness and knowledge. Discuss your stoma and what you are looking for in an ostomy pouching system. You can also ask to receive a paper bound catalogue. Sometimes it is preferred to flip through pages of a paper catalogue than prowling the internet and web sites.
Here are the 1-800 numbers for the main ostomy product manufacturers. My favorite products are from Coloplast and CyMed.
Coloplast: 1-800-533-0464 Ask about the Mio and Sensura lines and the Brava adaptic rings and Brava Strips (to anchor edges of the water)
CyMed: 1-800-582-0707 Ask about the Micro-skin wafers
ConvaTec: 1-800-422-8811 Ask about the moleable wafers and Ekin Adaptic Cohesive Rings/Seals (barrier rings)
Hollister: 1-800-323-4060 Ask about the moldeable wafer durahesive wafers specific for ileostomies (longer wear time, stronger withstanding to digestive enzymes).
Best wishes in finding The Best ostomy system for you,
I'm somewhat tempted to post a diagram as I don't see how the enzymes can get through the wafer.
I use the barrier wipes to put on a layer of protection for the skin. This stuff wears off with time and enzyme flow so there's a time or flow limit to when it has to be reapplied and this appears to be before five days.
I apply about a 1/4 inch ring of paste on the inner edge of the ring. There is still a considerable amount of wafer remaining to adhere to the skin and I haven't had any leaking problems outside of the bag filling up with stuff and gas. The irritation was due to not reapplying the barrier wipes frequently enough. Perhaps you think that I am applying the paste to the entire wafer surface. I'm not doing this, only a small circle on the inside of the ring.
I talked to the guy from Coloplast about barrier rings. He said that they start to break down as well and that three to four days was a good guideline. I also had a look at some of those strips that are 100 for $62 on Amazon. Some say that they're good for up to seven days but the website says up to 72 hours. These are those 3M strips.
I'm a bit confused by what you're posting as the setup that I have does work - it's just that I was leaving the bag on longer than the materials support.
But I will call up the companies and ask for samples of other things as I do want to do more activity as the chemo permits. I'm on my way out the door to the gym right now before it closes.