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Posted by Daanders, on Wed Feb 05, 2020 9:36 am

I am having issues with skin irrations under the eakin seal. There are tiny circles where the skin is peeling away. Any suggestions?

Reply by w30bob, on Wed Feb 05, 2020 10:10 am

Hi D,

  Are you seeing tiny "pock marks" or little craters in the skin......or are the circles just redness of the skin in a circular pattern?  Posting pics gets ugly.....I hate to do it how about a few more details.  Do the circles itch?  How big is "tiny"?  Are the lots or just a few circles?  Are they clustered in one area or evenly spread out under the Eakin seal?  Are they close to the stoma (could you possible be getting any leakage) or away from it? Do they sting when you touch them with alcohol or a skin prep wipe?  Does the skin peel away as a "crust", meaning dry flaky skin, or more like a popped pimple (meaning wet or moist skin)?  Guess I'm driving towards the question of whether what you are seeing is more like an eczema or a dermatitis.  

  Got to run to work now, but will check for your reply when I get home and respond back.



Reply by Daanders, on Wed Feb 05, 2020 11:06 am

They are about the size of a hat pin. They are circular and a layer of skin off. It started as one on the side , but now there is one on the bottom. Not close to the stoma.

Reply by iMacG5, on Wed Feb 05, 2020 3:16 pm

Hey Daanders, answers to these great questions from Bob will get you going in the right direction to fix this mess.  Please let us know how it works out.


Reply by w30bob, on Thu Feb 06, 2020 4:51 am

Hi D,

  That sounds like what I had going on over the summer. The best I could tell it was a skin reaction to the material used in the bandage portion of my barrier. But I did a 96 hour skin allergy test with the material and did not get a reaction. So what I ended up doing was taking the clear plastic cover that gets peeled off the wafer before you stick it on, and traced where the problem areas were. Then I cut small holes out of the barrier to let those areas breathe and not be covered. That works until you have to swiss cheese your barrier. In that case you need to try 2 things. First try Flo-Nase liquid......generic is fine. It's an anti-allergin that won't harm your skin. If that doesn't knock it out you need a stronger topical steroid. I use Betamethasone foam, which is pretty strong stuff. You might want to see a Dermatologist to try something weaker first.  But hopefully letting the area breathe or using the Flo-Nase will knock it out. Let me know.



Reply by Daanders, on Thu Feb 06, 2020 9:29 am

Would hydrocortisone work? Isn't flo nase for sinues?

Reply by w30bob, on Thu Feb 06, 2020 10:48 am

Hi D,

  The problem with hydro is it's adhesion of your barrier becomes a problem.  So I didn't mess with it much.  The Flo-nase is an anti-allergy med, so if you look at your skin problem as an allergic reaction to sort of makes sense.  The Flo-nase works for me if things havent' gotten too bad.  If I catch it late then only a steroid would get it back in check.  Now if you can go for any length of time with your barrier off, like maybe in the morning when you get up, then using Hydro and letting it sit on there for 30 minutes or so (and then fully washing it off) might work too........just never tried it.  




Reply by Daanders, on Thu Feb 06, 2020 4:59 pm

I never go with out it off unless I am changing it.  What about putting aloe from the plant?

Reply by 2marilyn2, on Mon Feb 10, 2020 4:57 pm

Hi Daanders,

my stoma nurse suggested I try the puffer asthma sufferers use when I had the same problem!  You just puff it onto the area that’s bad, it dries very quickly so doesn’t interfere with the bag sticking!  As it has a steroid in it, it clears the problem quickly!  I just use it when I start to get some skin issues and it nips it in the bud!  Might be worth a try!  



Reply by Daanders, on Tue Feb 11, 2020 9:26 am

Thank you I will have to see if I can get this

Reply by w30bob, on Tue Feb 11, 2020 9:29 pm

Hi D,

  I've tried alone squeezed directly from the plant. It felt nice, but didn't do anything to solve the problem.  Yes, I was talking about letting the air get to it when you change your barrier. I forgot that not everyone changes their barrier every other day, like I do. The asthma puffer sounds interesting.......




Reply by Daanders, on Tue Feb 11, 2020 10:37 pm

I was hoping it worked. How do you explain prescription to doctor. My Ostomy nurse is old not updated and not confident 

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