Topic Explanation
The discussion is centered around finding suitable skin cleansing wipes for cleaning and healing irritated skin, particularly for individuals with ostomies. The original poster is experiencing skin breakdown due to exposure to stool and is seeking recommendations for products that can aid in healing.
Advice and Insights
1. Basic Cleaning Routine:
- Use mild soap and warm water for cleaning. Let the skin air dry before applying any products.
- Some users recommend using only water or plain soap without perfume to avoid irritation.
2. Recommended Products:
- Domeboro soap is suggested as an over-the-counter option recommended by ostomy nurses.
- Brava skin cleansing wipes from Coloplast are noted for cleaning well and alleviating mild irritation.
- Safe Simple adhesive remover Perryistomal wipes are recommended for not stinging and not containing any substances that prevent wafer adhesion.
3. Skin Protection and Healing:
- After cleaning, apply stoma powder if needed, followed by a skin barrier wipe. Cavilon is a favored brand.
- Use a barrier ring around the stoma and a flange to protect the skin.
- Some users apply diluted white distilled vinegar for especially irritated skin, ensuring it is air-dried completely between applications.
4. Preventing Irritation:
- Identify the cause of irritation, such as prolonged time between changes, improper barrier placement, skin folds, or sensitivity to the barrier.
- Consider using a thin wafer cut and placed around the stoma before applying the barrier to improve precision and reduce irritation.
5. Product Availability:
- Coloplast offers a skin cleansing wipe specifically for use around the stoma, and they provide samples.
- Some users obtain their supplies, including wipes, through insurance-covered suppliers like Comfort Medical.
6. Personal Experiences:
- Users emphasize the importance of experimenting with different products and routines to find what works best for individual needs.
- Sharing personal routines, such as using specific pre-cut washers and bases, can provide guidance but may require personal adjustments.
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