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Jan 06, 2023

Dealing with Discomfort - Colostomate Seeking Advice

This topic is about a new colostomate who is experiencing discomfort from the wafer pulling on their skin, especially near a sore incision after surgery. They are seeking advice on whether this is normal and how to manage the pain. Here are some helpful insights and advice shared by others:

1. Normal healing discomfort:
- It's common to feel pulling during the early weeks after surgery. This sensation usually decreases as the incision and internal tissues heal. Patience is key.
- If the pain continues after full healing, it's a good idea to consult an ostomy nurse or surgeon.

2. Application technique:
- Apply the wafer while standing fully upright to avoid flexing the abdominal skin, which can cause pulling later.
- Alternatively, try applying the wafer while lying down to keep the abdomen flat and reduce gravity's effect.

3. Manage body hair and skin preparation:
- Shave or closely trim hair around the stoma, as adhesive on hair can cause painful pulling and weaken the seal.
- Use adhesive remover wipes or spray when changing the appliance to reduce hair-pull and skin trauma.

4. Adjust the wafer/tape shape:
- Consider cutting or trimming the wafer, especially on the incision side or over the belly-button, to avoid sensitive areas. Petite users often remove a large section on one side.
- Extra adhesive barrier strips can replace the trimmed area and help prevent leaks on smaller frames.

5. Support and accessories:
- Wearing an ostomy belt for the first couple of months can help reduce movement and pulling while the area heals.

6. Product and brand suggestions:
- Try samples of other wafers or pouching systems, such as Convatec lines or Coloplast SenSura/Assura, to find a more flexible or skin-friendly option.
- Barrier strips and belts from both Convatec and Coloplast may improve comfort.

7. General reassurance:
- Many small-framed ostomates feel as though the appliance covers the whole abdomen, but this sensation lessens over time.
- Full comfort can take longer than expected, so returning to work should be based on personal healing rather than just the calendar.
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