Question: How can I prevent skin breakdown around my end ileostomy?

Answer: Based on the forum discussions, here are some strategies to address skin breakdown around an ileostomy:

1. Appliance Fit and Leakage Prevention:
- Ensure the wafer fits properly around the stoma to prevent leaks. Measure the stoma regularly as its size can change.
- Consider using a convex wafer if the stoma is flush or recessed to improve the seal.
- Use barrier rings or moldable seals to fill any creases and protect the skin.

2. Skin Protection Techniques:
- Use the "crusting" technique: apply a light dusting of stoma powder on irritated areas, then seal with a no-sting barrier film. Repeat layers if necessary.
- Allow the skin to air-dry thoroughly before applying the wafer.
- Warm the wafer before application to improve adhesion.

3. Product Considerations:
- If current products are causing irritation, trial different brands or formulations to find a more compatible system.
- Consider using products like 3M Cavilon No-Sting Barrier Film or Marathon Liquid Skin Protectant for additional skin protection.

4. Professional Consultation:
- Consult a certified ostomy nurse for a hands-on assessment and personalized advice.
- If persistent issues occur, consider discussing surgical revision with a healthcare provider.

5. General Care Tips:
- Shower without the appliance to clean and air-dry the peristomal skin.
- Avoid using lotions or creams under the wafer as they can weaken adhesion.
- Maintain good nutrition to support skin health.

These strategies aim to improve skin condition and appliance wear time, reducing irritation and promoting healing.

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