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Rash under or around wafer

Posted by iMacG5, on Mon Apr 29, 2019 2:52 pm

I know lots of us suffered with rashes and received all kinds of advice. Some advice might be misleading and hopefully we can all do the right things if the need should arise. When we mention “crusting” I worry about the effects of applying the liquid skin barrier directly to the rash before the powder. I’m concerned the barrier film might prevent the powder from doing its job. Not even sure why I’m questioning this but I seem to question almost everything these days. Who has the time?

Reply by Morning glory , on Mon Apr 29, 2019 3:05 pm

Hi Mike,

I get rashes on occasion. I was told by an ostomy nurse and  Convetc nurse;to use the powder first. I think using the powder last defeats the purpose of the powder. 

Best wishes,


Past Member
Reply by Past Member, on Mon Apr 29, 2019 9:18 pm

If you think your rash is due to the acidic nature of your pouch contents - - this may sound old-school, but a simple thing my ostomy nurse told me to do occasionally is after cleaning and carefully drying, dab on some Milk of Magnesia and let it stay on for several minutes before wiping off - or even let it dry completely then apply the wafer.  The MofM reverses the acidic burns from the pouch contents.

Also, if you have to shave the hair where the wafter sticks, make sure your razor isn't old or dull... also use a hypo-allergenic gentle soap, then dry lightly and let the air get to your skin for a bit before reapplying.   All that usually works well for me, and if I get a rash, its usually because the razor blade is dull (razor stubble LOL) or I didn't rinse off the soap I use.

I think you apply the powder first, then apply the skin-prep.  

Hope this helps

Reply by MagicFlute14, on Tue Apr 30, 2019 4:12 am

Hi Mike. If you have the time, and it’s possible, clean the rash first with soap and water, dry and apply on the rash desitin extra strength. Keep it on for few hours, then clean again with soap and water, and do your regular prep before applying the wafer. It was the only thing that cured a bleeding rash I had that not even the ostomy nurse could fix. Good luck!

Reply by iMacG5, on Tue Apr 30, 2019 2:46 pm

Thanks so much folks.  I agree with Rebecca, would love to go golfing right now and feel terrible for Mozart's bleeding rash.

I stopped shaving about three years ago based on my surgeon's suggestion to eliminate ingrown hairs and the fear of nicking the stoma.  I use a battery powered trimmer to cut the hairs anywhere the wafer or adhesive sticks.  My rash was below the appliance and I think it came from sweating in the skin folds caused mainly by too much skin because of too much eating.  

You folks provided some great advice for all of us here at MAO.



Reply by Mrs.A, on Wed May 01, 2019 3:28 pm

When I think about rashes I think back to when my children were small. Cornstarch always worked for "prickley heat" and odor in shoes. Don't know if it would work for under the flange.

Reply by spyder, on Thu May 09, 2019 1:48 pm

i have used mercrochome to some success though it is hard to find in US


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