This topic is about someone experiencing a painful ulcer under their ostomy appliance and looking for advice on how to relieve the pain and promote healing. Here are some helpful suggestions:

1. General care: Make sure to keep the skin around the ulcer clean and dry before putting on a new appliance. Controlling moisture can help small ulcers heal more quickly.

2. Dressing option for pain relief and healing:
- Consider using Aquacel Ag Extra (silver) dressing from ConvaTec. This product is designed to help with healing and pain relief.
- Cut the dressing so that it fits just outside the edge of the ulcer.
- Leave the dressing in place for 3 to 4 days, changing it each time you change your appliance.
- You can place your wafer or base-plate directly over the Aquacel dressing. For extra protection, you might add a hydrocolloid dressing over the Aquacel before applying the base-plate.
- Some users have reported immediate pain relief and complete healing of similar-sized ulcers within a couple of months, although they noted that the product can be expensive but effective.