This topic is about managing skin issues and leakage after getting a new ileostomy, especially when dealing with skin folds, raw skin, and fungal rashes. Here are some helpful tips and advice shared by others who have faced similar challenges:

1. Adhesive Removal and Skin Preparation
- Try using Sensi-Care Sting Free Adhesive Remover Spray instead of wipes to gently lift the wafer without rubbing the damaged skin.
- After cleaning, apply a "crusting" technique: layer stoma powder, then 3M Cavilon, and repeat, finishing with powder for better results.

2. Appliances and Accessories for Skin Folds
- Consider using Coloplast SenSura Mio Convex Light, which is flexible and conforms to skin folds, often eliminating the need for extra tape.
- Pair any convex flange with an ostomy appliance belt from the same manufacturer to maintain pressure on uneven skin. Free samples are usually available.
- You can double or triple barrier rings or use ostomy paste to fill the fold and create a level surface. Paste breaks down faster but can help stop leaks.
- For severe irritation, try cutting away the adhesive border of a Hollister barrier and rely on a warmed barrier ring and Hollister belt to avoid adhesive contact with broken skin.
- If conventional adhesives fail, consider the Nu-Hope Adhesiveless Barrier, which uses a non-adhesive O-ring held by a belt.

3. Antifungal and Skin-Soothing Options
- Clotrimazole is safe to use around, but not directly on, the stoma. Others have used Boudreaux’s Butt Paste, NY Stop Fungus Powder, Head & Shoulders shampoo (as a wash), and generic antifungal creams to control yeast.
- Itching may increase as the skin starts to heal, so continue using antifungal treatments until the rash resolves.

4. Layering and Ring Combinations
- Some manage leakage in deep folds by stacking a 2-inch barrier ring on top of a 4-inch ring before applying the pouch, providing both firmness and flexibility.
- Custom-designed pouches can be ordered once healing stabilizes if the stoma placement is particularly challenging.

5. Cleaning and Bathing Tips
- Hold a 4 × 4 gauze over the stoma after showering until the appliance is in place.
- Avoid soaps with oils, fragrances, or moisturizers. Recommended options include Ivory body wash, Safeguard antibacterial soap, and pH-balanced baby wash.
- Use 100% cotton or baby washcloths for gentle cleansing.

6. General Pointers
- Always warm wafers and rings with a hairdryer and press for at least one minute to maximize adhesion. Try to limit bending at the torso for the first few hours.
- Be prepared for some trial and error. Many people see significant improvement after 3–4 weeks once they find the right combination of wafer convexity, rings, belt support, and skin treatment.