This topic is about a person who noticed a hard, scabby area developing around their stoma and is trying to figure out what might be causing it. They are reaching out to others for advice while also consulting with their stoma nurse and doctor. Here are some insights and advice shared in the discussion:

1. The person initially thought the issue might be due to lying on their stomach or using Salts adhesive drops. They plan to contact their stoma nurse for guidance.

2. The nurse initially said it was nothing to worry about, noting that the flanges are pre-cut and not tight. However, the next day, the nurse thought it looked like an ulcer and wanted to check again, considering possible internal issues.

3. Upon further review, it was labeled as "necrotic slough." The nurse and doctor advised monitoring the area and sending photos, which the person is doing.

4. The area showed improvement the following day, although the discoloration moved from the bottom to the side of the stoma. The nurse planned to consult the doctor again.

5. The doctor advised stopping the use of Salts drops, which led to significant improvement, and a planned biopsy was canceled.

6. It might be helpful to check if the wafer opening is cut too close or if it is rubbing against the stoma. Adjusting to a slightly larger opening or changing the convexity might help prevent irritation.