Question: How can I treat raw, weepy skin around my stoma?

Answer: Based on the forum discussions, here are some strategies for managing raw, weepy peristomal skin:

1. Cleaning and Preparation:
- Clean the area with warm water only, avoiding soaps and wipes that may irritate the skin.
- Ensure the skin is completely dry before applying any products.

2. Skin Protection and Healing:
- Use a barrier spray or wipe, such as 3M Cavilon, to protect the skin.
- Apply stoma powder to weepy areas and "crust" it by adding a barrier spray over the powder.
- Consider using hydrocolloid dressings like ExudermLP for severe irritation.

3. Product and Application Tips:
- Try different brands of wafers and pouches to find one that suits your skin, such as Coloplast or Convatec.
- Use barrier rings or seals to prevent leaks and protect the skin.
- Warm the wafer before application to improve adhesion.

4. Special Treatments:
- For severe cases, a regimen involving Domeboro Medicated Soak and apple-cider vinegar has been suggested.
- Consider using liquid skin protectants like Marathon for broken skin.

5. Consultation and Diagnosis:
- Seek advice from a qualified stoma or wound-care nurse to identify the cause of irritation and adjust your care routine accordingly.
- If irritation persists, consider testing for allergies or infections that may require specific treatments.

These methods aim to protect the skin, promote healing, and improve appliance adhesion.

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