This topic is about dealing with painful irritation on the skin around a stoma, known as peristomal skin irritation. It covers possible causes, prevention strategies, and product solutions to help manage and alleviate the discomfort. Here are some helpful insights and advice:

1. **Check for Fungal Infections:**
- Irritation might be due to yeast or fungal overgrowth. It's a good idea to get a swab test from a stoma nurse or doctor.
- Over-the-counter antifungal products like athlete’s foot or jock-itch sprays, Canesten cream, or prescription Nystatin powder can be effective. Use lotions or creams instead of ointments to avoid affecting wafer adhesion.

2. **Avoid Products That Weaken Adhesion:**
- Steer clear of Neosporin, petroleum-based ointments, or greasy substances under the wafer, as they can weaken the seal and allow output to irritate the skin.

3. **Ensure a Proper Wafer Fit:**
- Cut the wafer hole to fit snugly around the stoma without constricting it. This is especially important for ileostomies with more caustic output.
- If output pools at the base, consider using convex wafers or switching to a brand that provides a better seal.

4. **Use Protective Barrier Products:**
- Apply no-sting skin prep wipes or sprays with ostomy powder to create a dry, protective layer before placing the wafer.
- Barrier rings or strips, or paste, can provide an additional seal around the stoma.
- Ceramide-infused flanges can help maintain skin health.

5. **Skin-Soothing and Adhesion Tips:**
- Allow the skin to air-dry for 10–20 minutes between pouch changes. Some people find it helpful to lie down, use a hairdryer, or do other activities during this time.
- Shave or clip abdominal hair to improve adhesion.
- Products like Compound Tincture of Benzoin or Marathon liquid skin protectant can toughen irritated skin, but test them on a small area first.
- After showering, some apply chamomile lotion, let it dry completely, and then apply the pouch.

6. **Explore Web and Product Resources:**
- Visit farmoderm.it/en/peristomal-skin-irritation for guidance on fungal skin issues.
- Consider using Coloplast Brava skin cleansers and tape extenders for extra security.
- Hollister belt-loop wafers and an ostomy belt can help prevent the edges from lifting.

7. **General Care Reminders:**
- Increase the frequency of appliance changes if leaks occur.
- Consult a stoma nurse promptly if skin changes persist to prevent the issue from worsening.