The topic at hand is about managing stoma granulomas at home using silver nitrate pencils. Granulomas are small, often painful, growths that can develop around a stoma. Without access to an ostomy nurse, some people consider treating these themselves. Here are some insights and advice from others who have experience with this:

- Many people find that using a silver nitrate pencil is a straightforward process, similar to removing a wart.

- You can find silver nitrate pencils in different strengths on Amazon. The "red" pencils are weaker, while the "blue" ones are stronger. Some recommend using 75% silver nitrate sticks for effective treatment.

- To apply, lightly press the moistened tip of the silver nitrate pencil directly onto each granuloma for about 10 seconds. You might feel a brief stinging sensation, but this usually becomes less bothersome with repeated use.

- To protect the skin around the granuloma, it's common to apply a water-based lubricant, like KY Jelly, to the surrounding area. This helps prevent accidental contact with the silver nitrate.

- To prevent granulomas from coming back, check the size of your wafer or barrier cut-out. If it's too small, it can rub against the stoma and cause granulomas. If it's too large, it can leave skin exposed, leading to soreness and granulomas.

- Keep in mind that personal tolerance varies. Some people find the stinging too uncomfortable and choose not to use this method.