This topic is about dealing with raw, bleeding skin around an "innie" colostomy, where the stoma sits inward, causing stool to collect at the bottom of the pouch and leak under the wafer. This situation can worsen the skin condition, making it painful and difficult to manage. Here are some helpful suggestions and insights:

1. Seek Professional Help
- Contact your surgeon’s office or a hospital wound-care clinic to arrange a visit from a WOC (ostomy) nurse.
- Reach out to home-health agencies, supply companies, or hospital outpatient wound clinics, as they often have ostomy nurses available.
- Consider joining local or online support groups, such as the Ostomy Association of LMH Health, for contacts and advice.

2. Use Convex Systems with Seals
- Try using a convex wafer with a moldable or protective seal to help push the stoma outward and prevent leaks.
- Some recommended products include Coloplast convex barriers with Brava moldable rings, Convatec Esteem One-Piece Convex with Eakin’s Ring, or any convex appliance with strip paste or rings.

3. Fill Dips and Level the Skin
- Use strip paste, barrier paste, or pieces of a ring to fill in the hollow under the stoma’s lower edge.
- Apply stick paste around the outside curve of the convex ring for better adhesion, which can last up to 48 hours.

4. Heal and Dry Irritated Skin
- Use the crusting method: dust antifungal or stomahesive powder, tap off excess, and seal with a no-sting barrier wipe or spray.
- Consider using products like Medline AG+ Silver Powder for infected areas, 3M Cavilon Advanced Skin Protectant, Domeboro Medicated Soak, DuoDerm Extra Thin hydrocolloid dressing, or Eosin lotion for healing.

5. Prevent Pancaking and Improve Adhesion
- Ensure the skin is completely dry before applying each product layer, as too many products can affect adhesion.
- Warm the adhesive after applying the pouch by holding a hand over it, lying down, or using gentle heat.
- Use lubricating drops or an anti-pancaking solution inside the pouch.

6. Product Layering Tips
- Try a minimalist approach: dry skin, light powder, barrier spray or wipe, then a convex wafer with ring or paste.
- Build the ring onto the wafer first for precise placement.

7. Educational Resources
- Watch a YouTube video demonstrating the convex barrier and ring technique for changing routines.

8. General Reassurance
- Raw, bleeding skin is common with new ostomies and usually improves once leakage is controlled and the skin is protected.
- Keep supplies within reach during changes to minimize time without the pouch and reduce accidental leakage.