This topic is about someone who has been living with a colostomy for a year and is experiencing persistent redness and inflammation of the skin around the stoma. They are seeking advice on how to heal the irritated skin. Here are some helpful suggestions and insights shared by others:

1. Use a skin-prep or barrier wipe or spray before each pouch change. Many people have found that this routine helps resolve skin irritation completely.

2. Check out detailed guidance in forum posts titled “New here and so excited to have found this group, but I need help!” and “Ostomy Related Skin Irritation – What you need to know” for step-by-step advice.

3. Make sure the wafer opening is the right size. Measure the stoma monthly to ensure the hole is not too small, which can cause friction, or too large, which can allow output to irritate the skin.

4. Try using a diaper-rash ointment like Sudocrem or any zinc-oxide–based nappy cream. Apply a thin layer, blot with a dry wipe, and then put on the new appliance.

5. Consider the possibility of an allergy to the paste being used. Temporarily stop using the Hollister paste to see if the redness improves.

6. Allow the skin to breathe daily. You can do this by taking a shower or lying down without a pouch for 15 to 60 minutes. Airflow from a ceiling fan can help the area dry.

7. If you feel comfortable, share clear photos with healthcare professionals or trusted peers to help with diagnosis.

8. Consult the free downloadable book “Abdominal Stomas and Their Skin Disorders” to compare symptoms with common peristomal skin conditions.