This topic is about dealing with a stoma that is constantly bleeding, very sore, and painful, which is making it hard to sleep and affecting daily life. Despite multiple visits to a stoma nurse, the situation hasn't improved, so alternative ideas for relief are being sought.

Here are some suggestions and insights that might help:

1. Short-term skin rescue:
- Remove the pouch completely and use tissues to catch output for about 24 hours.
- Keep the area exposed and apply calamine lotion to all irritated skin. Many people notice healing within a day.

2. Give the skin regular "air time":
- Take showers without a wafer or pouch.
- Try to shower when the ileostomy or colostomy is least active, like long after a meal.
- Use an adhesive-remover wipe to take off the wafer, then let warm water rinse the area.
- Stay without a wafer for as long as possible, even if it means sitting in the tub or shower for a while. Let the skin dry completely before reapplying products.

3. Gentle cleansing products:
- Use a fragrance-free, sensitive-skin foaming soap, like Vichy facial cleanser, to calm inflamed skin around the stoma.

4. Rebuild a reliable seal:
- Use Eakin Cohesive Slim Rings, which are sticky, moldable seals, directly around the stoma edge. Tear the ring, press it between the stoma and skin, then place the flange over it.
- This works well for irregularly shaped stomas, lasts longer than paste, and creates a complete barrier to protect sore skin.

5. Stress and pain management techniques:
- Practice slow, deep breathing; releasing tension, even with a loud scream, can lessen perceived pain.
- For relaxation, add a few drops of lavender essential oil and some Epsom salts to bathwater. Keep the wafer off the skin while using lavender.

6. General points:
- A little bleeding from the stoma itself is normal. The key is to keep the surrounding skin dry, protected, and free from irritation.
- Always ensure the skin is fully dry before applying any products to avoid further breakdown.