The topic is about dealing with small wart-like growths, known as pseudoverrucous lesions, that can appear around the base of a stoma. These growths can be a bit of a nuisance, but there are ways to manage them effectively. Here are some helpful insights and advice:

- These bumps are often pseudoverrucous lesions, also referred to as stomal warts or hypergranulation tissue.
- The main cause is constant moisture on the skin where the stoma meets the skin. This can happen if:
1. The opening in the wafer or pouch is cut too large, allowing output to irritate the skin.
2. Leakage gets trapped under the barrier, especially with flush or "innie" stomas.
- When removing the skin barrier, check the back for stool or significant erosion. If you notice these, consider changing the pouch more frequently, such as every 4 days instead of weekly.
- For managing fecal ostomies:
1. Cut the wafer opening to fit the stoma size exactly, covering the lesions instead of enlarging the hole.
2. Dust the area with Karaya Powder or Stomahesive Powder to help dry the lesions.
3. Apply a paste or barrier ring for extra seal and protection, like Eakin Cohesive Seal or Hollister Adapt Barrier Ring.
4. Use an ostomy belt to apply gentle pressure and help flatten the lesions; a convex wafer can provide additional pressure if needed.
- If the lesions are large or located at the mucocutaneous junction, a clinician might treat them with silver nitrate sticks during each pouch change. This can be painful and may require repeated applications.
- Very large or pedunculated growths can be tied off or surgically removed by a physician after local anesthesia.
- These lesions usually appear red, may bleed easily, and can make sealing the pouch more challenging. They are generally more of a nuisance than a serious health threat.
- It's important to have an ostomy nurse or physician confirm the diagnosis to rule out other conditions.