This topic is about dealing with peristomal skin ulcers, which are sores that can develop around the stoma. The person sharing their experience has had an ileostomy for four years and is currently facing this issue. They are looking for practical ways to promote healing before their appointment with a Wound-Ostomy-Continence (WOC) nurse. Here are some suggestions and insights shared by others:

1. Consider using ConvaTec Ostomy Barrier Seal rings. These can be cut or stretched to fit around the stoma and then covered with a wafer or pouch. Many people find that these seals protect the skin and keep it drier than using powder alone.

2. Eakin Seals are another option. These pre-formed rings can be stretched to fit and are often used with a convex ConvaTec two-piece system. They are known to prevent leakage and help with skin issues.

3. Try using ConvaTec DuoDERM Extra Thin CGF Dressing. Cut the dressing into strips to "picture-frame" the peristomal skin. This method has been reported to clear chronic skin issues and extend the wear time of the appliance to about five days.

4. Combine a seal ring with 3M Cavilon No-Sting Barrier Spray for added skin protection.

5. For open, weeping ulcerations, a Domeboro medicated soak can be helpful. Mix about half a packet in a quarter to half a cup of lukewarm water, saturate gauze, and apply for 20 minutes. Allow the area to air or hair-dry before applying the appliance. Repeat this process at each change until the ulcers close.

6. For stubborn inflammation, consider using a prescription bronchodilator or Triamcinolone Acetonide Topical Aerosol. Steroid injections around the area may also be prescribed to speed up healing.

7. When removing adhesives and cleaning the skin, use Brava Adhesive Remover Spray or Wipes, which are silicone-based and sting-free. Gently lift the wafer while spraying to minimize skin trauma. Some people prefer using only lukewarm water and skipping powders or sprays, which can reduce rashes.

8. Avoid aggressive scrubbing, as every wafer removal lifts skin cells.

9. Consider using silver-based antimicrobial dressings over ulcers during wear time to prevent infection. Systemic antibiotics, like ciprofloxacin and metronidazole, have helped some people clear long-standing wounds.

10. Appliance suggestions include Coloplast Click 2-Piece Convex and SenSura Mio systems. However, the edge material can cause itching, so applying Coloplast Skin Protective Barrier Wipe around the flange edges may help prevent allergic reactions.

11. Monitor for allergic reactions to adhesives or flange material, as rigid flanges can create pressure sores.

12. Maintain a "gentle removal, gentle application" routine: clean the area, ensure it is fully dry (using a hair dryer on low if needed), apply a protective wipe or seal, and then attach the wafer.

13. If ulcers persist, worsen, or become infected, it is important to consult a WOC nurse or dermatologist promptly.