Managing bleeding granulomas around the stoma opening can be a bit challenging, but there are ways to handle it. Granulomas are small, red nodules that can form at the edge of the stoma. They can bleed, especially during appliance changes, which can be inconvenient. Here are some practical tips to help manage or eliminate them:

1. Temporary Solution:
- Adjust the wafer or flange opening each time you change your appliance so that it doesn't rub against the granulomas. Many people find this to be a helpful short-term fix.

2. Professional Treatment:
- Consider consulting a Wound, Ostomy, and Continence Nurse (WOCN). They can provide standard care, which often involves using silver nitrate sticks to cauterize the granulomas. Depending on their size, multiple applications might be necessary.
- If you don't have a WOCN, try contacting local hospitals to speak with an inpatient WOCN, or look for local ostomy support groups or Facebook groups for outpatient contacts. Some inpatient WOCNs may see ostomates even if there's no formal clinic.

3. Self-Treatment Option:
- You can purchase silver nitrate sticks online without a prescription. They come in packs ranging from 5 to 100.
- To use them, moisten the tip and touch it to each granuloma. The silver nitrate will liquefy on contact and chemically cauterize the tissue.
- You might feel a brief burning sensation, especially if the granulomas are on the stoma tissue itself, but it's usually tolerable and short-lived.
- Each stick can be reused several times until the silver nitrate coating is used up.

These steps can help you manage the granulomas effectively and make your daily routine a bit easier.