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Nov 07, 2020

Tips for removing stubborn stoma residue?

This topic is about finding ways to remove thick, dried stool from the skin around the stoma during appliance changes. The person sharing their experience finds that while wet output is easy to clean, the dried residue is stubborn and requires scrubbing, which can be irritating and uncomfortable. They are looking for effective cleaning techniques, products, or tools to help with this issue. Here are some helpful suggestions and insights:

1. Rinse the pouch and stoma area with plain warm water:
- Fill the pouch with a small amount of warm water, swish it around the stoma, and then drain it. Some users report that this does not affect the wear time of the wafer.
- Keep a small container or bottle of warm water by the toilet and repeat the rinse 2–3 times each time you empty the pouch.
- Use a shallow plastic tub held snugly over the stoma to let warm water soak and loosen dried residue before wiping.
- Showering without the pouch allows running water to wash everything away.

2. Add a lubricant to reduce pancaking and keep output from drying:
- Put a few drops of baby oil, vegetable oil, or a proprietary lubricant inside the pouch and leave a little air so the stool can slide to the bottom.
- Occasionally push the output down the outside of the pouch with your fingers if it still sticks.

3. Use dedicated cleansers or adhesive-remover products:
- Consider using 3M Cavilon spray or wipes.
- Safe n Simple Peri-Stoma Cleanser & Adhesive Remover (available as moist wipes in a 50-pack on Amazon).
- Convatec SensiCare Sting Free Adhesive Releaser Spray and Wipes.

4. Soap-and-water methods:
- Use mild soap followed by Coloplast Brava Barrier Wipes to remove any soap residue; users report that flanges still adhere well.
- For stubborn buildup, try a solution of water, a drop of non-bleach dish soap, and a splash of white vinegar (avoid if the skin is broken).

5. Soften residue first:
- Use warm-water compresses or cotton soaked in aloe vera gel (such as Aubrey brand organic) held against the area, then rinse or spray with water.
- Lightly apply baby oil on tissue to gently dissolve hardened output.

6. Protective measures to prevent skin contact:
- Use a barrier ring or stomahesive paste to eliminate any gap between the stoma and flange; this protects the skin and reduces buildup.
- Consider changing the entire system a day earlier if residue accumulation is heavy.

7. General tips:
- Empty and rinse more frequently to prevent stool from drying out.
- Keep unprotected skin exposure to stool at a minimum; use liquid barrier film where needed.
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