Question: Has anyone experienced a skin ulcer under their stoma bag that won't heal, and how did you treat it?

Answer: Based on the forum discussions, here are some strategies that have been suggested for managing and healing peristomal skin ulcers:

1. Barrier Seals and Dressings:
- Consider using ConvaTec Ostomy Barrier Seal rings or Eakin Seals to protect the skin and prevent leakage.
- Use DuoDERM Extra Thin CGF Dressing to "picture-frame" the peristomal skin, which can help clear chronic skin issues and extend wear time.

2. Skin Protection Techniques:
- Apply a skin barrier film or wipe before fitting the wafer to protect the skin.
- Use the "crusting" technique: apply stoma powder followed by a skin barrier film, allowing each layer to dry before applying the next.

3. Medicated Soaks and Dressings:
- Domeboro medicated soaks can be used for open, weeping ulcerations. Mix the solution, saturate gauze, and apply for 20 minutes before drying and applying the appliance.
- Silver-based antimicrobial dressings can be used over ulcers to prevent infection.

4. Alternative Products:
- Consider using products like Marathon Skin Protectant or Salts Healthcare Aloe Rings for additional skin protection.

5. General Care Tips:
- Ensure the wafer opening fits closely to the stoma to prevent effluent contact.
- Allow the skin to air-dry before applying products, and avoid aggressive scrubbing during cleaning.
- If the ulcer persists or worsens, consult a WOC nurse or dermatologist for further evaluation and treatment options.

These suggestions are based on user experiences and may vary in effectiveness. It is important to consult with healthcare professionals for personalized advice.

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