This topic is about dealing with blisters that form under the skin barrier of an ileostomy. The person sharing their experience has been living with an ileostomy since 2018 and also has a skin condition called Prurigo Nodularis. Recently, they have noticed painful, itchy blisters filled with clear fluid under the adhesive part of their ostomy wafer. These blisters are particularly painful during showers, and removing the appliance tears the tops off, making it hard for them to heal. The person is seeking advice from others who might have faced similar issues, as visiting a stoma nurse could delay an upcoming spinal surgery.

Here are some helpful tips and insights shared by others:

1. Check for hidden seepage: Sometimes, the output from the stoma can sneak under the wafer without any obvious leaks. This acidic output can cause the skin to become raw and blistered.

2. Use Eakin Cohesive Seals: These are hydrocolloid rings that can be placed under the wafer to protect the skin and help it heal.
- After removing the wafer, inspect it to see if any area is more eroded. This indicates a weak spot.
- You can cut and layer the Eakin Seal at this weak spot to create a tighter and more even seal.

3. For rash-like areas, try this method:
- Apply a thin layer of Calazime Skin Protectant Paste.
- Dust the area with stoma powder.
- Follow with your usual barrier product.
- Many people find that the rash heals by the next appliance change, which is typically about 48 hours later.