This topic is about someone who has had a permanent ileostomy for 15 years and is now experiencing a new issue. The skin around their closed-off rectum has become swollen and painful, especially when sitting. They are seeking advice on how to reduce this discomfort.

Here are some helpful insights and advice:

1. A colorectal physician suggested using ice or sitz baths to help with the swelling and pain.

2. The family doctor mentioned that acidic foods, like very fresh tomatoes, blueberries, citrus fruits, and pasta sauce, might cause or worsen the swelling. Keeping a food log could help identify any food-related triggers.

3. Consider the type of seat cushion being used:
- Traditional donut pillows might not be ideal as sitting over the central hole can put extra pressure on the scarred area.
- Switching to a different cushion design, such as a "waffle air cushion," might provide better support and comfort.

These suggestions aim to help manage the swelling and pain, making sitting more comfortable.