This topic is about finding ways to manage the challenges of dealing with a vaginal fistula that drains bile and acid, especially when an ostomy pouch becomes blocked. This situation can cause significant skin irritation and discomfort, and the person is seeking advice on creams and other practical tips to protect the skin and manage odor.

Here are some helpful suggestions:

1. Consider using barrier or healing creams that others have found effective:
- Sudocrem Antiseptic Healing Cream, which is a medicated zinc-oxide barrier cream commonly used for diaper rash. It can be ordered from the UK and shipped to the U.S.
- Nilstat cream and Nilstat vaginal inserts, which are antifungal treatments available in Australia. These can be useful if the discharge leads to thrush.
- Instillagel, a gel containing lidocaine and chlorhexidine, which comes in pre-filled syringes and can be applied for internal soreness.

2. For managing odor, try using over-the-counter feminine deodorant sprays on the affected area and on pads.

3. To improve comfort, sit on cushions or a donut ring at work. It's also important to prioritize comfort over appearance when it comes to changes in walking style.