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Jun 29, 2022

Need Help with Redness & Soreness Around Stoma

This topic is about dealing with redness and soreness around the stoma, which can be uncomfortable and concerning. The person experiencing this issue is looking for ways to soothe and heal the irritated skin. Here are some helpful tips and advice:

1. Barrier Protection
- Use a barrier ring with every change, placing it as close to the stoma as possible. Ensure the wafer hole has no sharp edges.
- If you suspect an allergy to your current rings, consider trying a paste or a different brand or type.

2. Stoma Powder and "Crusting" Technique
- Dust the irritated skin with stoma powder, seal it with a skin-barrier spray or wipe, and repeat this process (powder-spray-powder-spray) before applying the wafer.
- If you react to standard powders, Hollister Kayra powder might be a good alternative.
- Avoid using ointments unless a nurse confirms a yeast infection. If yeast is present, use an antifungal cream.

3. Convex or Better-Fitting Appliance
- A two-piece system with a convex wafer can help prevent leaks and protect the skin.
- Warm the wafer between your hands before applying it, cut the opening slightly smaller than the stoma, press all around for about a minute, and consider using only half a ring if leakage is limited to one side.

4. Alternative Skin-Soothers
- Consider using calamine lotion, Pepto-Bismol liquid, or liquid Maalox, but always seal with skin-barrier wipes to maintain adhesion.

5. Air Exposure and Drying Time
- If your stoma has little or predictable output, leave the pouch off after showering or between changes. Cool air from a fan can help the area dry and heal.

6. Change Schedule and Leak Prevention
- Cut the wafer opening so the gap around the stoma is minimal and change the appliance before it starts to leak. The frequency of changes is individual, but daily leaks indicate a need to adjust products or technique.

7. Additional Practical Tips
- Use a lubricating gel inside the pouch to help stool slide to the bottom and keep it off the peristomal skin.
- Clean the area gently with warm water and a soft pad, avoiding pushing stool under the wafer when wiping.
- If problems persist, take a photo of the skin and email it to an ostomy nurse or doctor for a quick assessment.
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