This topic is about dealing with red, weepy, and painful skin around the stoma, which can be a frustrating issue for many ostomates. The originator of the discussion has tried several methods to manage this problem and is seeking advice from others who might have found effective solutions. Here are some insights and suggestions shared:

1. Antifungal creams initially helped but lost effectiveness over time.

2. Marathon Liquid Skin Protectant created a strong seal, but the skin underneath remained unhealthy.

3. A short course of Betamethasone, a topical steroid, reduced redness and weeping, indicating inflammation, but it wasn't a permanent solution.

4. The issue doesn't seem to be caused by leaks, allergies, or moisture, as the skin under the barrier ring stays sealed, but random patches become inflamed.

5. Experimenting with removing most of the tape border from the Hollister barrier and replacing it with 3M Micropore surgical tape has shown promising results, with the skin looking much better.

6. The goal is to gather practical solutions from other ostomates for managing red, weepy peristomal skin.

Additional questions and information include:

- Friction from tight waistbands can worsen the problem. Suggestions for reducing pressure are welcome.
- Looking for a Calamine Lotion with zinc oxide that allows the pouch to adhere. Brand recommendations are needed.
- Despite using a hair-dryer to warm and dry the skin and barrier during changes, flare-ups still occur.

Advice and insights from others include:

- Skin-soothing ointments and pastes like Calmoseptine Ointment and Boudreaux’s Butt Paste can help. Traditional Calamine Lotion with zinc oxide is also recommended.

- Consider barrier-free or reduced-tape systems, such as cutting away the tape border and using 3M Micropore surgical tape, or trying a Convatec 2-piece wafer made entirely of Stomahesive.

- Cleansers and drying agents like Head & Shoulders Classic shampoo, Domboro soak packets, or vinegar and water soaks can be beneficial. A small travel hair-dryer can help thoroughly dry the area.

- Antifungal, antibacterial, and astringent options include VASHE hypochlorous-acid solution and Maalox liquid.

- Topical steroids and anti-inflammatory products like Betamethasone, Clobetasol foam, Cordran Tape, and OTC Flonase nasal spray have been used with success.

- For perspiration and heat control, antiperspirant wipes like SweatBlock can be used under the wafer.

- Consulting a certified Ostomy/Wound Care Nurse might provide access to a wider range of products and solutions.

These shared experiences offer a variety of methods to help manage and alleviate red, weepy peristomal skin.