Topic Explanation
The forum discussion revolves around a user experiencing a bleeding wound near their stoma, which is not the stoma itself but a cut or similar injury. The user is concerned about the risk of infection, especially since the wound is under the appliance (a Hollister 2-piece system). They are seeking advice on treatment options and infection prevention.
Advice and Insights
1. Confirm the Source of Bleeding:
- Use a mirror to check if the bleeding is from the stoma itself, as stomas can bleed, especially if the appliance has rough edges from cutting.
2. Stoma Powder and Barrier Film:
- Apply stoma powder to the wound and use a barrier film to protect the area. This method is recommended over ointments like Neosporin, which can prevent the bag from sticking properly.
3. Crusting Method:
- Use the crusting method with stoma powder and barrier film to manage the wound. If bleeding continues, consult a wound care nurse or doctor.
4. Consult Healthcare Professionals:
- If the wound continues to bleed or shows signs of infection, seek advice from a stoma care nurse or doctor. They may provide treatments like cauterization if necessary.
5. Alternative Treatments:
- Some users have found success using paste during bag changes to manage over-healed skin areas that bleed.
- Vicks VapoRub has been mentioned as a remedy for skin flares near the stoma, followed by stoma powder and barrier wipes.
6. Cleaning the Area:
- Wash the area with soap and water during bag changes instead of using topical ointments like Neosporin, which can interfere with the adhesive.
7. Allergic Reactions:
- Be aware that some people are allergic to Neosporin. Consider alternative treatments if you suspect an allergy.
8. Calamine Lotion:
- Calamine lotion can be used, ensuring it is dry before applying the bag. This can help soothe raw skin areas.
9. Additional Tips:
- Eating marshmallows before changing the bag can help manage the stoma output, making the process easier.
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