Question: What are alternatives to nystatin for treating stoma area irritation?

Answer: Based on the discussions from the MeetAnOstoMate Discussion Forum, several alternative treatments and strategies have been suggested for managing stoma area irritation, particularly when nystatin is not effective or suitable:

1. Antifungal Alternatives:
- Lotrimin Powder or Spray: Often recommended for treating yeast infections around the stoma.
- Tolnaftate, Clotrimazole, and Miconazole: These antifungal treatments can be used to address fungal infections.
- Mycostatin or Vanos Prescription Powder: These are other prescription options that may be considered.

2. Barrier Products:
- Cavilon Barrier Spray or Wipes: Used to create a protective film over the skin, helping to prevent irritation and improve adhesion.
- Marathon No Sting Cyanoacrylate Skin Protectant: Recommended for use on broken skin to protect and promote healing.
- Coloplast Brava Protective Sheets: These can help prevent allergic reactions to adhesives.

3. Skin Care Techniques:
- Crusting Method: Involves layering stoma powder and barrier film to protect the skin and promote healing.
- Egg White Application: Some users have found relief by applying egg white to the skin after showering to help regenerate and soothe the skin.

4. Dietary Considerations:
- Dietary Adjustments: Reducing sugar intake and consuming foods that thicken stoma output can help manage irritation.

5. Consultation and Professional Advice:
- Ostomy Nurse or Dermatologist Consultation: Seeking professional advice can help identify specific issues and tailor treatment options.
- Swab Tests: Conducting swab tests to identify infections or allergic reactions can guide appropriate treatment.

6. Alternative Remedies:
- Calamine Lotion or Sudocrem: These can be applied to soothe and protect irritated skin.
- Aloe Vera Gel: Extracted directly from the plant, it can be soothing for skin problems.

7. Prescription Medications:
- Flonase (Liquid Steroid): Recommended as a safer alternative to cortisone cream, as it dries quickly and does not interfere with the bag seal.
- Desoximetasone Gel: A prescription option for treating skin irritation and infection.

If these alternatives do not provide relief, it is advisable to consult with a healthcare professional, such as a wound, ostomy, and continence (WOC) nurse, for personalized advice and potential prescription treatments. Additionally, posting the question in the MeetAnOstoMate discussion forum could provide further insights and experiences from other ostomates.

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