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Apr 20, 2023

Choosing the Right Wipes for Stoma Care

The topic at hand is about choosing the right wipes, or deciding not to use them, for cleaning the stoma site safely. This is an important consideration for ostomates to ensure that their pouching system adheres properly and functions effectively. Here are some key points and advice shared by others:

- It's advised to avoid using baby wipes and most over-the-counter cleansing wipes. These often contain oils, lotions, or aloe that can leave a residue on the skin, which might prevent the wafer or faceplate from sticking properly. This can lead to early detachment and leakage.

- Ingredients like dimethicone, parabens, sodium laureth sulfate, glycerin, tocopheryl (vitamin E), decyl glucoside, and aloe are common in these products and can interfere with adhesion.

- Even wipes that claim to be almost pure water, such as some marketed as 99.9% water, may still contain oils like grapeseed and olive oils.

- Specialty after-care wipes, if not truly sterile or well-preserved, can grow mold, which is not safe for use.

- Popular saline wipes, like "Boogie Wipes," also contain ingredients that can form a film on the skin, affecting adhesion.

For those looking for alternatives:

1. Steri-Wash Aftercare Piercing Wipes are recommended. They are essentially normal saline, sealed, and sterilized.

2. Safe n’ Simple Adhesive Remover Wipes are another option. They are large, no-sting, non-alcohol wipes that serve as an adhesive remover and skin prep. They contain preservatives to remain safe after opening and are reimbursable by U.S. Medicare.

Additional insights from the community:

- Some members have found success using just warm water and a washcloth for cleaning, followed by thorough drying with toilet paper. This simple routine has provided secure adhesion, even during activities like swimming, and allows them to wear a ConvaTec 2-piece system for up to four days.

- If wipes are preferred, many recommend the Safe n’ Simple Adhesive Remover Wipes for a residue-free clean.

- ConvaTec pouching systems are praised by users who limit their skin prep to water and proper drying, finding them effective and reliable.
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