This topic is all about finding gentle ways to cleanse and heal irritated skin around an ostomy, especially when it's been affected by stool exposure. Here are some helpful tips and advice shared by others who have faced similar challenges:
1. Basic Cleansing:
- Many people suggest keeping it simple: rinse the area with warm water or use a mild, fragrance-free soap. Let the skin air-dry or use a hair-dryer on a low heat setting.
2. Soap Suggestions:
- Domeboro Soap, available over-the-counter, is recommended by ostomy nurses.
- Some users find success with Liquid Dial (men’s scent), followed by thorough rinsing. One person also uses Head & Shoulders shampoo and rinses again.
3. Dry-Skin Protection Routine:
- After cleaning and drying, dust any irritated areas with stoma powder if needed.
- Seal the area with a skin-barrier wipe. Brands like Cavilon and other top companies are mentioned.
4. Barrier Rings and Wafer Tips:
- Apply a barrier ring around the stoma before attaching the flange to protect the skin.
- Using a thin wafer, custom-cut and placed around the stoma, can help with slight misplacement of the main barrier and reduce irritation from leaks or folds.
5. Complete System Example:
- For those needing a combination of products, one example includes: Welland Washer Seal XMHWA310 (pre-cut 30 mm), Hollister Concave Base 13506 (pre-cut 32 mm), and Hollister pouch 18183.
6. Cleansing Wipes for Ostomy Care:
- Coloplast Brava Skin Cleansing Wipes are noted for cleaning well and soothing mild irritation.
- Coloplast Stoma Skin Cleansing Wipes come in a 15-count pack and are available as a free sample.
- Safe n Simple Adhesive Remover Peristomal Wipes (4 × 6 in.) are praised for not stinging and leaving no residue that could interfere with wafer adhesion. They are available on Amazon and through Comfort Medical in Texas under insurance/Medicare codes.
7. Additional Skin-Soothing Option:
- A light application of diluted white distilled vinegar, allowed to air-dry between applications, can calm inflamed skin and improve wafer adhesion. This may replace or reduce the need for stoma powder.
8. Troubleshooting Recurrent Irritation:
- Check the wear time of your barrier, as wearing it too long can cause skin breakdown.
- Ensure the barrier is centered; thin protective wafers can help.
- Consider other factors like skin folds, nearby scars, or rare sensitivities to barrier materials.
These tips aim to provide comfort and relief for those dealing with irritated ostomy skin.
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