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Mar 27, 2020

Relief for Flange Rash - Cutting Tape for Redness

This topic is about dealing with adhesive rashes that can occur when using ostomy appliances, specifically focusing on the flange and tape used to secure the appliance. Here are some helpful tips and insights shared by individuals who have experienced similar issues:

1. **Reduce or Eliminate Outer Adhesive:**
- Some people have found relief by trimming the tape border of the flange or creating custom baseplates to prevent the adhesive from touching the skin. This can involve using only a portion of the usual adhesive.

2. **Alternative Topical Treatments:**
- Washing the skin with a zinc shampoo, like Head & Shoulders Classic, and applying Boudreaux’s Butt Paste can help when the skin starts to show redness.
- Fucidin, an antibiotic cream, can be used for itching, while Sudocrem is suggested for reducing redness.
- A steroid inhaler or puffer sprayed directly on the irritated area has been effective for some.
- General diaper-rash creams, applied for 5-10 minutes and then wiped off, can also provide relief.

3. **Suspect and Treat Yeast Infections:**
- If the rash is diagnosed as a yeast infection, cutting away the adhesive in the affected area and applying an over-the-counter antifungal cream can help. Keeping the skin dry is crucial to prevent recurrence.

4. **Moisture Control:**
- Ensure the skin is thoroughly dried after showering, as moisture trapped under the tape can worsen rashes.

5. **Appliances and Accessories:**
- The discussion mentions using products like the Hollister CeraPlus flange, Hollister CeraRing, Dansac one-piece pouch, and a Stealth Belt support garment to manage and support the ostomy appliance effectively.
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