Hello Gillcom!
the sticky part that affixes to your abdomen is what we call the wafer. It can have a sticky tape-like material surrounding the wafer also. And I've also heard it referred to as a flange. The bag attaches to this wafer. Some folks use 1 piece units, and some use 2 pc units. Some are drainable, some have closed ends. There are a bunch of different types available. Its a personal preference, kinda of like going shopping for shoes: sneakers, pumps, sandals, boots! Choices, choices!!!
Unless you have a skin condition of some sort, I would think you should be getting more than just 2 days wear time out of your appliance. I am currently up to about 6 days, and I have a very active ileostomy. Some folks never achieve that length of time, but here are some things to consider:
- If you cut the opening of the wafer for the stoma, the first question I would have to ask - are you sure you are making that opening snug enough to the stoma so you don't get the "itchies" within a the first couple of days?
- Do you have some scar tissue or uneven skin under the wafer that would keep the wafer from having a good seal? If you are having issues with your seal and length of wear time, their are products out that can extend your time between changes. It is all a matter of trial and error, believe me.
After 23 years, my body changed this summer and I had wear time issues as you might have read on this board. My wear time went from about 5 days down to 2-3 days. Through trial and error and adding new products, I am back up to about 6 days. I have added a product called Eakin Seals. These are circular disks made out of the same product as the sticky part of the wafer that you can add to the wafer/skin to build up the area around the stoma so that the wafer won't break down so quickly. This 1 item has made a huge difference for me and also for Amey that posts on this board too.
And you are absolutely right: "itchies" do mean leaks!!! I hate it when I get those "itchies" --- always at the most inopportune (sp?) times too.
If you have any other questions, please feel free to ask away!!!