This topic is about managing allergic reactions and skin issues related to using Brava Protective Sheets under a Coloplast SenSura Mio wafer. The person experiencing these issues is dealing with a painful, burning, and itchy rash that hasn't improved with typical treatments. They are seeking advice and personal experiences to help resolve the skin breakdown and manage leaks beneath the wafer.

Here are some helpful insights and advice:

1. Consider a "less is more" approach: After cleaning the skin, apply only 3M Cavilon No-Sting Barrier Film over the entire peristomal area. Let it dry completely before attaching the wafer.

2. Try a convex appliance with an elastic belt to improve pressure and prevent leaks. You can request free samples from manufacturers like Coloplast and Hollister.

3. For an uneven abdomen, use a standard 2-inch barrier ring around the stoma. Cut crescent shapes from a larger ring to fill any dips toward the navel. Add Hollister Adapt Barrier Extenders on the weakest edge for extra support.

4. To help heal the skin temporarily, place Micropore gentle paper tape directly over raw skin and apply the wafer on top.

5. Whenever possible, shower or bathe without a bag to cleanse the skin thoroughly and give it some "air time." Some people find rinsing with Dial soap and applying Head & Shoulders dandruff shampoo for 30 seconds before rinsing helps with fungal rashes.

6. Use steroid nasal sprays like Flonase sparingly on irritated skin before applying powder or barrier film to reduce inflammation.

7. Try the paste or caulk method by applying ostomy paste inside the wafer opening to fill tiny gaps and prevent seepage. Barrier strips on top of the pouch can add support when the bag fills.

8. If you suspect an adhesive allergy, consider sampling alternative brands or products such as Hollister convex one-piece drainable pouches, Coloplast alternatives, Brava Protective Sheets, 3M Marathon, and 3M Cavilon Advanced Skin Protectant.

9. For better orientation, cut a "V" or notch in the wafer toward the navel or rotate the SenSura Mio wafer lengthwise so its shorter side faces the belly-button crease.

10. Check out the "Ostomy Diaries" channel on YouTube for demonstrations on wafer-fitting, paste application, and convex setup.

11. If local support is limited, seek additional samples through ostomy suppliers, manufacturer hotlines, or an ostomy nurse at another facility.