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Jan 09, 2024

Sores on Stoma - Seeking Advice and Help

The topic at hand is about dealing with sores on a stoma, which can be concerning and uncomfortable. A stoma is an opening on the abdomen connected to the digestive or urinary system to allow waste to be diverted out of the body. If you find yourself in a similar situation, here are some helpful insights and advice:

1. The sores are located on the stoma itself, while the skin around it appears normal. This could be a sign of a yeast infection, which is often described as bright red, itchy, and possibly sore.

2. If you recently switched to a new type of pouch, like Coloplast, and haven't had skin issues with it, the sores might not be related to the pouch itself.

3. Your surgeon might suggest using an ointment, but applying it would require removing the pouch. If funds are limited for trying different supplies, consider reaching out to your healthcare provider for guidance.

4. Since your surgeon is far away, take clear photos of the stoma and send them to your surgeon or a wound-ostomy-continence (WOC) nurse for a remote assessment. This can help you get advice without needing to travel.

5. It's important to confirm where exactly the sores are located. If they are on the stoma surface, the treatment might differ from sores under the barrier ring or wax ring.

6. If the irritation is under a wax barrier ring, consider whether the product or moisture might be contributing to the problem.

7. Until you receive medical advice, try to keep the area as dry as possible. Avoid applying topical ointments under the pouch unless specifically directed, as they can interfere with the adhesion of the wafer, especially with Coloplast pouches.
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