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Apr 22, 2022

Bumps and Burning - Seeking Advice for Ostomy Care

This topic is about someone who has been living with a colostomy for a little over a year and is experiencing some concerns. They have noticed bumps on their stoma, which are not painful but are noticeable. Additionally, they often feel a burning sensation, although there is no obvious leakage when they remove their appliance. They are seeking advice from others who might have experienced similar issues.

Here are some helpful insights and advice shared by the community:

1. Some people mentioned that the bumps might be normal and could be residual suture sites from surgery. These small nodules can sometimes persist for months.

2. To help with the bumps and burning sensation, try cutting the wafer opening slightly larger than the stoma to prevent rubbing. Filling the gap with a barrier ring can cushion the stoma and protect the skin. One person found that using a Coloplast barrier ring helped extend the wear time of their appliance and reduced burning.

3. The burning sensation might be due to an allergic reaction to the wafer, barrier spray, or other accessories. It could be helpful to try different pouches or brands and eliminate one product at a time to identify the cause.

4. When removing the appliance, instead of pulling it off quickly, try loosening a corner and gently pushing the skin away from the adhesive. This can help prevent skin trauma and ingrown-hair bumps.

5. It is a good idea to arrange an appointment with an ostomy nurse for a hands-on assessment of the stoma bumps and burning sensation. Although the nearest nurse is over an hour away, seeking professional help can provide valuable insights.

6. Regarding diet, most people with a colostomy can eat a normal diet, including foods like popcorn and celery, as long as they chew well and stay hydrated. It might be helpful to reintroduce avoided foods in small amounts to test tolerance. Foods like beans, which can cause looser output, might be better scheduled for days off work.
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