This topic is about dealing with a persistent issue of red, weepy skin right where the stoma meets the abdominal wall. The skin under the rest of the wafer is healthy, but the affected area causes the wafer to lift, leading to frequent and costly changes. The problem isn't painful or itchy, but it does affect the wear-time of the ostomy appliance. The person experiencing this has tried various solutions, but they are looking for a long-term fix. Here are some helpful insights and advice shared by others:

1. Reduce mechanical trauma at the junction:
- Consider enlarging the wafer opening slightly or using a thicker, smoothly-tapered homemade baseplate to avoid sharp edges.
- Try Dermacol Stoma Collars from Salts Healthcare, which offer a soft, rounded interface, though they may not suit oval stomas.

2. Medicated treatments for infection or inflammation:
- Desoximetazone 0.25% gel can dry quickly and help clear bacterial or fungal infections.
- Apply Nystatin cream or liquid around the stoma, cover with stoma powder and skin-prep before applying the wafer.
- Washing with Head & Shoulders shampoo followed by Nystatin has been reported to almost completely stop the weeping.
- Pepto-Bismol or calamine lotion can be used as temporary soothers; let them dry before pouching.

3. Barrier pastes, rings, and "crusting":
- Use Convatec Stomahesive paste, applying a thin bead with a syringe for precision, and layer it under a Karaya ring.
- Hollister Adapt barrier rings, especially the Adapt "Ceraring" with ceramide, are preferred for gentler contact.
- Avoid Eakin rings if they cause further skin damage during removal.
- Classic "crusting" involves alternating stoma powder and skin-prep wipes (2–3 layers) before attaching the wafer.

4. Skin-drying and protective powders:
- Standard ostomy stoma powder is recommended; some mention using a zinc-based wound powder for rapid drying.

5. Alternate wafers and suppliers:
- Switching from Hollister convex wafers to ConvaTec or Coloplast styles might help, especially if an allergy is suspected.
- If the stoma sinks or retracts, consider a different convexity or supplementary convex strips to maintain the seal.

6. General tips:
- Keep the skin absolutely clean and dry; some use toilet paper or a soft cloth to blot until the weeping stops momentarily.
- If frequent changes cause irritation, focus on medicating the skin first to extend wear-time.
- Allow for temporary "air-dry" periods by using a tube or towel to channel output, letting the ooze crust before pouching.

These suggestions aim to provide relief and potentially a long-term solution for the skin issue at the stoma-skin junction.