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May 03, 2023

Seeking Advice for Weeping Skin Around Ileostomy

This topic is about dealing with water blisters and weeping skin under an ileostomy wafer. The person experiencing this issue has noticed painful, itchy blisters around their stoma, which are not caused by leakage. The constant moisture makes it difficult for the wafer to stick, leading to frequent pouch changes. They have tried different products, but nothing seems to help, and they are seeking advice on how to manage this situation.

Here are some helpful suggestions and insights:

1. Consider the possibility of an infection. Blistering might be a sign of a staph infection, impetigo, or other conditions like Pemphigus. It's a good idea to take a photo of the affected area and share it with a healthcare professional, such as a physician, dermatologist, or ostomy nurse, for proper assessment. Antibiotics might be necessary.

2. Try a soothing soak. Using aluminum acetate soaks, like Domeboro powder, can provide temporary relief before you reapply a barrier.

3. Use barrier rings or extenders with aloe. You might find relief by using products like Salts Aloe Ring or Salts Aloe-infused Barrier Ring between your skin and the appliance. Additionally, Salts Aloe-infused Flange Extenders can be trimmed to cover only the affected skin.

4. Consider a layered dressing technique for severe skin breakdown. Apply Aquacel ConvaTec Extra to the sore area, cover it with Duoderm Extra Thin hydrocolloid dressing, then attach the wafer and use flange extenders for an added seal.

5. Give your skin some air-time. Allow the skin to be exposed to air for at least 10 minutes, or longer if possible, between pouch changes. Be prepared for any unexpected output during this time.

6. Explore additional resources. Check out the forum’s COLLECTIONS > PREMIUM CONTENT > GENERAL KNOWLEDGE > SKIN IRRITATIONS AND OTHER ISSUES for more detailed discussions and solutions.

7. Seek professional help. It might be beneficial to request a referral to a skin specialist or dermatologist, or to consult directly with an experienced ostomy nurse.
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