Question: What causes white patches on a stoma and how can they be treated?

Answer: The forum discussions provide several insights into the causes and treatments for white patches on a stoma:

1. Possible Causes:
- White patches on a stoma could be due to a yeast or fungal infection, especially if the individual has been on antibiotics recently.
- They might also be hyperkeratosis or pseudoverrucous lesions, which are related to irritation or trauma.
- In some cases, white patches could be related to Crohn's disease or ulcerative colitis flare-ups.

2. Treatment Options:
- For fungal infections, Nystatin powder is recommended.
- If the white patches are granulomas, silver nitrate application might be used to remove them.
- Adjusting the size of the wafer to prevent friction or exposure can help prevent granulomas.
- Consulting a stoma nurse or healthcare professional is advised for a proper diagnosis and treatment plan.

3. General Advice:
- Monitor any changes in the stoma and seek medical attention if necessary.
- Consider sending pictures to a healthcare professional for remote diagnosis if in-person visits are not feasible.
- Ensure proper fitting of the ostomy appliance to prevent irritation and potential lesions.

These insights suggest that white patches on a stoma can have various causes, and appropriate treatment should be guided by a healthcare professional.

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