The topic at hand is about the safety and effectiveness of using cortisone cream around the stoma, especially when dealing with broken and inflamed peristomal skin. The person experiencing this issue has been trying different methods to heal their skin and is seeking advice on whether cortisone cream is safe to use in this sensitive area.

Here are some helpful insights and advice shared by others:

1. Be cautious with creams like cortisone under the wafer, as they can leave oily residues that might weaken the seal and lead to more leakage.

2. A suggested routine for treating broken or irritated peristomal skin includes:
- Cleaning the area with plain water and paper towels, avoiding soaps and lotions.
- Lightly dusting the broken skin with Adapt Stoma Powder (Hollister) and brushing off any excess.
- Sealing the area with a no-sting liquid barrier film, such as 3M Cavilon.
- Ensuring the wafer opening fits snugly. In some cases, adding a thin wafer or a properly shaped barrier ring can help keep output off the skin.

3. If a topical steroid is necessary, consider using Flonase (fluticasone) nasal spray. It is alcohol-based, dries quickly, and won't compromise adhesion like ointments or creams might.

4. Marathon (Medline/Centurion) is a cyanoacrylate skin-protectant liquid that some people use on broken peristomal skin when conventional barrier films cause stinging.

5. Other potential causes of skin irritation include leakage, folliculitis, yeast infections, or reactions to soaps or lotions.

6. If there is no improvement, it is advisable to consult a WOC (wound-ostomy-continence) nurse promptly for professional guidance.