Personally, I have frequent issues with pancaking (I use Brava Lubricant that gets stuff to move off my stoma), and so I can often have irritation if waste sits in one location too long (raw skin, whatever you want to call it), and since for me it stings and burns like holy honeycomb, I said to heck with this and went in search of relief (as nurses just told me it happens and that's it).
..winks So, here's my secret for instant (almost) relief…
I use lidocaine 5% (highest you can buy unprescribed), they (Amazon) sell it as a hemorrhoid cream (100% pure lidocaine, approximately $20). Lidocaine is often used for numbing areas for waxing (I wax at home so had some on hand), tattoos, or piercings…so I went for it and 15-20 minutes later, ahh relief! And I could do what needed doing as far as cleaning without the screaming or crying, then reapplying a bit more after all is cleaned and applying powder before bag placement. Honestly, I'd be climbing up the walls if I just had to live with the discomfort and the lidocaine has been a huge help. I do try to keep in mind that lidocaine numbs the area so it is up to me to visually monitor to ensure all is good and there isn't any further irritation or infection going on…Regardless, this is what I use/do, and I'm simply sharing the info, but not advocating its use. Check with your doctor, everyone is different yada-yada-yada..winks and I hope you too find relief.