I would like to discuss the reasons requiring a different appliance and the characteristics of some common appliances. To begin with, the surgeon allowed only so much moveable bowel in the construction of your stoma. Once that piece of bowel was pulled through your abdominal wall, it was tacked down on the inside of the abdominal wall and on the outside of the skin. One result of the limited length of bowel with increased abdominal wall thickness, is that when you sit or stand, the changed position allows the abdominal wall to shift forward and down, and the stoma segment prevents the peristomal skin from shifting as much as the rest of the abdomen. Skin adjacent to the stoma becomes quite mobile being pulled down, then flattened by your changing positions.
Any skin barriers can hold up under the strain.
The first patient was admitted with abdominal pain resembling an appendicitis attack and had to be operated upon to dislodge the sharp, central spine of the bay leaf from the intestinal wall. The other patient complained of severe rectal pain and needed anesthesia before the bay leaf could be removed. Many ostomy products contain organic matter that can break down with age or excessive exposure to heat or cold. Karaya-Seal rings should be kept in a cool, dry place so that the karaya won't break down. When these rings get cold or dry, they become less tacky and very firm.