This topic is about someone who had a colostomy in 2007, which later developed a hernia. They underwent surgery to repair both a parastomal hernia and a ventral hernia. Since the surgery, they have been experiencing pain around the stoma and a persistent rash on the surrounding skin. They are seeking advice on whether this is normal and what they can do about it.

Here are some helpful insights and advice:

1. Pain
- The stoma itself doesn't have sensory nerves, so ongoing pain might indicate issues like infection, detachment from the abdominal wall, blockage, or too much pressure from a hernia support belt or convex wafer.
- Pain that feels like stinging or pulling might be due to the stitches holding the stoma in place.
- It's important to see a doctor for an assessment and possible tests, as persistent pain should not be ignored.

2. Rash / Skin Irritation
- The rash could be an allergic reaction to products like the pouch, wafer, sealants, wipes, or pastes. Trying different products or brands might help, and you can request free samples from companies.
- If liquid output is leaking onto the skin, it might be because the barrier opening is too large. Measure the stoma when it's active and cut a tighter opening. Some people have resolved the rash by switching to a smaller flange size.
- A fungal or yeast infection is another possibility, especially after taking antibiotics. Treating it with antifungal or stoma powder followed by a moist skin prep can help.
- Check if a hernia belt or other external pressure is causing skin irritation.

3. Cleansing & General Care
- Showering without the pouch and gently washing the stoma and surrounding skin can be beneficial. Dial Yellow Antibacterial Soap is recommended as it leaves no residue that might interfere with adhesion.
- Avoid vigorous scrubbing, as the skin is sensitive.
- After showering, make sure to dry the area thoroughly before applying a new appliance.

4. Skin Protection / Appliance Tips
- The "crusting" method can help protect the skin: dust stoma powder, dab water or use a skin-barrier wipe, let it dry, and repeat 2–3 times before applying the wafer.
- Some products that people have found helpful include:
- Hollister Adapt Rings for sealing gaps.
- Convatec wafers/pouches, which some have found offer better wear time and less seepage.
- Stoma powder, skin-barrier wipes, pastes, and antifungal powders.
- Warming the wafer after application, such as by holding a glove filled with warm water over it, can improve adhesion.