Question: My stoma has started swelling and shrinking, and I'm experiencing leaks and skin irritation. What can I do to manage this?
Answer: Based on the forum discussions, here are some suggestions for managing your situation:
- Stoma Size and Appliance Fit: Stomas can naturally fluctuate in size and shape, which is common. Ensure that you are measuring your stoma before each appliance change to get the most accurate fit. If the pre-cut size no longer fits well, consider using cut-to-fit wafers to accommodate changes in stoma size.
- Managing Hernia and Leakage: A parastomal hernia can indeed make it easier for output to leak under the barrier. Consider using barrier rings, flange extenders, or a support belt to help secure the appliance and prevent leaks. A hernia belt, such as those from Coloplast or Nu-Hope, might provide additional support and help manage the hernia.
- Skin Protection: To protect your skin, ensure that the wafer is not too tight, as this can cause irritation and bleeding. Use stoma powder on irritated skin and seal it with a barrier wipe (crusting technique) to protect the skin and improve adhesion.
- Professional Assessment: It is important to have a stoma nurse or healthcare professional assess your stoma and hernia. They can provide guidance on the best appliance fit and management strategies for your specific situation.
- Diet and Activity: Monitor your diet to see if certain foods are causing increased output or swelling. Additionally, limit heavy lifting and strenuous activity, as these can exacerbate a hernia.
- Emergency Supplies: Keep a supply of larger or adjustable wafers on hand in case of sudden changes in stoma size or output.
If you continue to experience issues, it is crucial to seek professional medical advice to address both the stoma and hernia concerns effectively.
Check out these links for more information:
- Has Anyone Experienced Their Stoma Increasing in Size? (October 17, 2024)
- Stoma Size Increasing and Hernia Belt Recommendations (September 24, 2024)
- Ileostomy Pouch Leaks and Stoma Issues - Need Advice (January 16, 2024)
- Stoma Size Increasing - Seeking Advice (July 25, 2021)
- Sudden Increase in Stoma Size and Leakage Issues (January 13, 2025)
- My Stoma is Swollen and Looks Like a Mushroom! (November 09, 2024)
- Stoma Size Change - Normal or Unusual? (January 06, 2023)
- Is It Normal for Stoma Size to Change After Colostomy? (August 04, 2024)
- Stoma size increase and bleeding, is it normal? (April 14, 2020)
- Sudden Increase in Stoma Size Overnight - Seeking Advice (June 23, 2024)
