Hold a warm hand over the pouch and stoma for 30-60 seconds after application to warm it and assure a good initial seal. Wrong Size of Pouch Opening. Folds or Creases. If skin folds or creases have developed and leakage is always along the crease, wafer pieces or ostomy paste can be used to build up the area in order to avoid leakage. Peristomal Skin Irritation.
Pouches don t stick well to irritated skin.
So perform meticulous skin care to avoid irritated or denuded skin or a rash. If any of these problems develop, see your ET nurse or physician as soon as possible, so that the problem can be nipped in the bud. Improper Pouch Angle. Emptying too Infrequently. Pouches should be emptied when full.