Topic Explanation:
The discussion revolves around a person, Peaches, who has been living with an ileostomy for over 30 years. Recently, Peaches has encountered an issue where the stoma is flattening, causing it to retract under the ostomy bag. This has led to increased skin irritation and the need for frequent bag changes, exacerbating the skin issues. Peaches is seeking advice on whether to consult a surgeon for a possible stoma revision and is looking for any suggestions to manage the current situation.
Advice and Insights from Replies:
1. Consultation with a Healthcare Professional:
- It is recommended to consult a surgeon to discuss the possibility of a stoma revision, as similar experiences from other long-term ileostomy patients have necessitated such procedures.
- Additionally, seeing a stoma therapy nurse as soon as possible is advised to get professional advice tailored to the specific situation.
2. Immediate Relief and Skin Protection:
- For immediate relief and to protect the skin around the stoma, using pre-bag adhesive rings and stoma powder-paste can be beneficial. These products help form a protective barrier that can shield the skin from acidic output and prevent further irritation.
- Specific product recommendations include Eakin seals (codes 839005, 839002) and Coloplast Sensura shallow base plate (code 15537) for a 25cm stoma. These can help manage the shape and output of the stoma more effectively, potentially reducing leakage and skin damage.
3. Product Recommendations and Usage Tips:
- It is suggested to experiment with different types of seals and base plates to find the most suitable fit and comfort. Some products, like the deep base plate, may not be suitable for everyone as they can cause additional skin issues.
- Stoma powder (code 25510) is also recommended for its effectiveness in managing skin health around the stoma.
By following these recommendations, Peaches might find some relief from the current issues and make an informed decision about potential surgical interventions.
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