This topic is about dealing with a rash that appears on the skin under the stoma where the wafer makes contact. The person experiencing this wants to know if it's a common issue that will resolve on its own or if it needs a doctor's attention.

Here are some helpful insights and advice:

1. Possible fungal (yeast) rash:
- Check for signs like redness and itching.
- You can try dusting the area with Desenex antifungal powder, then lightly blot with a skin-prep wipe to form a protective paste that still allows adhesion.
- Fungal rashes tend to occur more often in hot, humid weather.

2. Consider professional help:
- In Canada, ostomates are usually assigned an Enterostomal Therapy (ET) nurse, and similar specialist care is recommended in other places.
- ET nurses often have more expertise in managing peristomal skin issues than general physicians.

3. Folliculitis from repeated appliance removal:
- Changing the wafer can irritate or infect hair follicles.
- Shaving or carefully clipping hair around the stoma can help reduce this risk.

4. General skin-care tips:
- If leakage causes irritation, try letting the skin "air out" for a few hours during appliance changes.
- Wetting the wafer before removal can help reduce skin stripping.

5. Improve the seal to reduce frequent changes:
- Using Hollister Adapt Barrier Rings, sized precisely with a tapered dowel or similar tool, can create a near-perfect seal.
- A good seal can extend the wear time to about a week, allowing the skin to heal.
- A tapered plastic kids' toy can be a cost-effective tool for sizing.