Question: How can I manage a burning sensation from ostomy output?

Answer: The forum discussions provide several insights into managing burning sensations related to ostomy output:

1. Leakage and Skin Protection: Burning is often due to effluent reaching the peristomal skin. Ensure the wafer opening fits snugly around the stoma to prevent leaks. Consider using moldable barrier rings instead of paste, as they can provide a better seal and reduce leaks.

2. Appliance Selection: For retracted stomas, use deep-convex systems designed for flush stomas. Brands like Convatec Natura or Esteem+ deep convex are recommended.

3. Diet and Output Management: Acidic output can cause burning. Adjusting the diet to reduce acidity and using products like Miralax to maintain a soft output consistency can help. Avoid highly acidic foods and consider a BRAT diet trial.

4. Chemotherapy Side Effects: Chemotherapy can increase stool acidity and cause burning sensations. Consult with an oncologist to review medications and consider possible neuropathy.

5. Medical Evaluation: Persistent burning should be evaluated by a healthcare professional to rule out complications like strictures, infections, or granulomas.

6. Product Suggestions: Use barrier rings from brands like Hollister Adapt, Coloplast Brava, or Convatec Esteem. For convex wafer systems, consider Convatec Natura Durahesive Convex or Hollister New Image Convex.

7. Professional Help: Seek advice from an ostomy nurse or gastroenterologist for persistent issues, and consider a second opinion if local resources are insufficient.

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