This topic is about dealing with a challenging situation after an emergency colostomy, where the stoma has retracted and there is a deep separation between the mucosa and the skin. This has led to irritation and infection due to effluent pooling in the area. Here are some helpful insights and advice for managing this condition:

1. Seek immediate medical attention: It's crucial to get a surgical or medical review as soon as possible. The risk of infection is high, and a deep separation can lead to serious complications like sepsis. Contact your surgeon or visit an emergency department with expertise in colorectal issues.

2. Keep an eye on signs of infection: Regularly check your temperature. If you notice any increase, it's important to seek hospital care promptly.

3. Get specialized nursing support: If your current home-health nurse is not familiar with your condition, request a certified Wound-Ostomy-Continence Nurse (WOCN) from another agency, a hospital wound-care clinic, or through your surgeon’s office.

4. Avoid experimenting with products: Instead of trying different topical treatments, focus on getting surgical correction or aggressive medical management. Delaying proper treatment could make the separation and infection worse.