Dealing with persistent raw skin around a stoma can be quite challenging. If you've tried the usual methods like the "crusting" routine with stoma powder and no-sting wipes but still have a stubborn raw patch, here are some solutions and insights that might help:

1. **Hydrocolloid Dressings & Extenders**
- Use Convatec Duoderm Extra-Thin dressings over inflamed areas and leave them on for 4–5 days.
- Try Welland or Salts Hydroframe flange extenders, which are 100% hydrocolloid, as mini dressings that can be cut to shape.
- Coloplast Protective Sheets can be trimmed like a plaster and often clear soreness within days.

2. **Barrier Rings / Washers**
- Apply rings like Eakin Cohesive Slim Barrier Ring or Hollister barrier rings with ceramide directly onto irritated skin to protect and help heal.
- Make the ring hole slightly smaller than the appliance opening for a snug fit, which can prevent leakage-related skin damage.

3. **Simplify Your Routine**
- Some people find better adhesion and fewer issues by using only warm water to cleanse, followed by a snug hydrocolloid washer and wafer, skipping powders, sprays, and creams.

4. **Powders, Sprays, Pastes, and Creams for Weepy Skin**
- A light coat of Cavilon spray can be sufficient and should dry quickly.
- Orabase Protective Paste is useful for areas right next to the stoma.
- Calazime Protectant Paste, Sudocrem, or generic zinc-oxide "Baby Butt" paste can soothe and form a barrier; just wipe off any excess before applying the wafer.
- Calamine lotion or unflavored Maalox are traditional remedies that can still be effective.

5. **Medicinal / Anti-inflammatory Options**
- Dab Head & Shoulders shampoo (zinc pyrithione) around the stoma, leave for 30 seconds, then rinse.
- Use Flonase (fluticasone) spray on the skin and let it dry before pouching.
- Silver nitrate applicator sticks can be used to cauterize persistent granulation or infected spots, usually applied by a clinician.

6. **Check for Sensitivities**
- If you experience intermittent rashes, it might be due to sensitivity to certain wafers, rings, or cleaning products. Consider changing products if irritation recurs.

These tips and insights might help you find relief and healing for your skin. Remember, it's always a good idea to consult with a healthcare professional or ostomy nurse for personalized advice.