Topic Explanation:
The discussion in the forum revolves around the user "Noodlepip" sharing their experience with a new stoma, which is causing skin irritation due to acid burns from the intestinal content. Noodlepip has received various ostomy products from their stoma nurse, including powder, paste, and adhesive rings, to help manage the stoma and protect the skin. They are seeking advice on how to effectively use these products to prevent leakage and ensure proper adhesion of the ostomy bag.
Extracted Advice and Helpful Insights:
1. Preference for Adhesive Rings Over Paste:
- Several users prefer using adhesive rings instead of paste, citing fewer issues with leakage and easier management.
- One user suggests that using less paste might be beneficial as it can expand and cause leaks by lifting the wafer.
2. Application Techniques:
- A technique called "turtlenecking" involves placing the ring on the barrier and then adjusting it to create a tighter seal around the stoma, which can extend the wear time of the barrier.
- Cutting the ring in half and then molding it back together to fit better around the stoma is suggested for those experiencing leakage with full rings.
3. Managing Skin Irritation and Leakage:
- For skin irritation, one user recommends using powder first, followed by a skin prep square to ensure it stays in place, although they note that powder can interfere with the flange's adherence.
- Ilex cream is mentioned as an effective treatment for acid burns caused by leakage, though it should not be applied under the barrier to avoid affecting adhesion.
4. Additional Products to Enhance Barrier Function:
- Barrier strips (specifically Genairex) are recommended to extend the size of the barrier and reduce leaks. These strips are sticky on one side and can be applied around the outer rim of the barrier.
These insights and tips from various users provide practical solutions for managing a new stoma, dealing with skin irritation, and ensuring the longevity and effectiveness of ostomy products.
See full discusison