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Dec 07, 2023

Stoma Flush with Skin - 9 Weeks Post-Op and Panicking

This topic is about someone who is nine weeks post-surgery and has noticed that their stoma, which was previously protruding, is now flush with the surrounding skin. This change has caused some concern, especially since they had been doing well until now. They have reached out to their stoma care team but are waiting for a response. Here are some helpful insights and advice from others who have experienced similar situations:

1. It's normal for a stoma to change: Many people find that their stoma can change in length, sometimes protruding and other times becoming flush with the skin, especially in the early months after surgery.

2. Keep an eye on it, but don't worry too much: A temporary change in the stoma's position is usually not a cause for concern as long as there is no pain and the output remains normal. Just keep monitoring how flat it becomes.

3. Adjust your appliance if needed:
- If the stoma stays flush and you start experiencing leaks, consider switching to a convex baseplate or wafer. This can help the stoma protrude more and protect the skin.

4. Maintain a good skin care routine:
- Keep the skin around the stoma clean and dry. Some people use a wound cleanser on cotton pads and let the area air-dry to keep the skin healthy.
- Allow some "air time" when changing your appliance. You can use a disposable cup to catch any unexpected output while the pouch is off.

5. Technique during appliance changes: When applying a new appliance, gently flatten or support the stoma to help achieve a better seal if it is retracted.

6. Remember, it's a learning process: The first few months after surgery can be a learning curve. As you observe patterns and adjust your supplies and techniques, your confidence will grow.
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