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Dec 04, 2023

Skin Around Stoma Question

The topic at hand is about the appearance of peristomal skin, specifically when it looks shiny. This can be a concern for some, as they wonder if this shininess is normal or if it indicates a problem. Here are some insights and advice on this matter:

- A shiny appearance of peristomal skin is generally not a cause for concern. Many people with ostomies notice that their peristomal skin can look glossier, darker, or redder than the surrounding skin, even when it is healthy.

- Possible reasons for the shininess include:
1. Natural skin oils, sweat, or moisture that might be trapped under the appliance.
2. Residue from products like moist skin-prep pads or barrier wipes.
3. The constant pressure or "distress" on the skin from the stoma, especially if using a convex wafer.

- However, there are certain signs that do require medical attention:
1. Blistering, weeping, scaling, bright redness, severe discoloration, or pain in the peristomal skin.
2. Any change in the stoma color from a healthy red to gray or black should be treated as an emergency.

- General skin-care tips include:
1. If your skin is not irritated, continue with your current Hollister routine; there's no need to change it just because the skin looks shiny.
2. Avoid using harsh hair-removal creams on the abdomen, as they can cause blistering and affect pouch adhesion.
3. For managing hair, start with an electric trimmer and then carefully use small scissors after showering. Perfect hair removal is not necessary.
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