This topic is about dealing with damaged skin around a stoma, rashes, and leakage issues when using convex Hollister pouches. The person sharing their experience has a colostomy and faces challenges with skin irritation and finding a reliable pouching system. They have tried various solutions but are still seeking new ideas. Here are some suggestions and insights that might help:

1. Skin Care and Cleansing
- Use Head & Shoulders anti-dandruff shampoo to wash the skin around the stoma during wafer-free showers, repeating this at every change for several weeks.
- For yeast or fungal rashes, apply Canesten cream or Nystatin powder and seal it with an adhesive spray.
- Dab Maalox liquid on raw skin, let it dry to help speed up healing.

2. Protective Films and Sprays
- Apply 3M Cavilon No Sting Barrier Film wipes in two layers over exposed skin before putting on the wafer.
- Use Sobaderm barrier spray for raw or blistered areas, as it dries quickly.
- Use ConvaTec Sensitive Care Sting-Free adhesive remover before applying any protective film.

3. Powders and Pastes
- Use Boudreaux’s Butt Paste or Hollister Karaya 5 Powder on weepy skin, let it sit for about 10 minutes, wipe off completely, then apply the pouch.
- Apply “No Red Med” by Molec Laboratories with Coloplast Skin Barrier Wipe for overall protection.

4. Seals, Rings, and Wafers
- Place Eakin Cohesive Seals or Wafers first, then the wafer; you can double-layer or roll the inner edge to fill any crevices.
- Use Coloplast Brava protective sheets or “wound-repair” sheets cut to size under the wafer where the skin is broken.
- Try Coloplast mouldable rings or ConvaTec Cohesive Rings for high absorption.
- Apply Torbot or Nu-Hope liquid rubber adhesives in thin layers on both skin and wafer, allowing drying time between coats for a strong seal.

5. Alternative Pouching Systems and Brands
- Consider using non-convex pouches temporarily until the skin heals, building convexity with stacked Eakin seals.
- Try Coloplast Sensura/Brava, Salts “B E Confidence” (aloe-infused), or Dansac Nova Easi-Fold bags for gentler adhesives.
- Use two-piece “snap” systems with mini bags and support belts to reduce tension and leaks.

6. Additional Skin-Care Tips
- Shave peri-stomal hair with a fresh manual razor to remove residue and improve the seal.
- Cleanse with white Dove soap on a damp paper towel after showering, then dry thoroughly with a hair dryer on cool.
- Use a cocoa-butter wipe to lift residue, then remove it completely before sealing.
- Place moistened Hydrofera Blue pieces under the wafer to calm inflamed patches.
- Balance the change interval to maintain hygiene without causing skin damage; some manage 7-13 days with a strong adhesive technique.

7. Diet and Output Control
- Take Loperamide 2 mg before meals and simethicone 125 mg to slow output and reduce gas.
- Incorporate a daily probiotic, yogurt, and a Mediterranean-style diet while reducing sugars to limit yeast growth.

8. New Product Leads
- Explore CliniMed (UK) Manuka-Honey-based pouches and flange extenders for potential benefits.