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Mar 28, 2022

Skin Breakdown from New Wafer Adhesive: Alternatives?

This topic is about dealing with skin irritation caused by a new wafer adhesive for ostomy care. After years without issues, someone experienced significant skin breakdown and is looking for faster-healing alternatives to stoma powder, which they can't get for a week. Here are some helpful suggestions and insights:

- Avoid using Gold Bond powder as a substitute. It contains menthol and other additives that can irritate broken skin around the stoma.

- You can order ostomy (stoma) powder online. Many people find it on websites like Amazon for about $10, often with quicker shipping options.

- Reach out to an ostomy nurse. Hospitals and manufacturers often have samples available and might be able to provide a small bottle the same day.

- Consider these alternative products for weepy or broken skin:
1. Domeboro Astringent Solution Powder Packets (aluminum acetate) can be found in drugstores or online. Dissolve a packet in about a cup of water, soak gauze pads, and apply compresses for 30–45 minutes while the pouch is off. This helps dry out weepy areas quickly.
2. If you suspect yeast involvement, use a very light dusting of antifungal powder like miconazole or clotrimazole. Brush off any excess powder and seal it with a skin-barrier spray or wipe before applying the wafer, as wafers won't stick to loose powder.
3. AG Silver Powder by Medline (5 g bottle, antimicrobial silver) can be applied using the "crusting" method:
- Clean the skin thoroughly and let it dry.
- Lightly dust AG Silver Powder over irritated spots and brush off excess.
- Spray with a skin-prep/barrier and let it dry.
- Optionally, add a light layer of stoma powder, then spray skin-prep again to form a protective "crust."
- Apply the wafer. Users report noticeable pain relief within 24 hours.

- For better healing and adhesion while the skin is compromised, try using two barrier rings together (one convex and one formable sticky ring). This creates a gentle slope and increases the surface area for the wafer to stick, reducing stress on the injured skin.
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