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Jan 20, 2024

Redness and Itchiness from Adhesive - Need Tips!

This topic is about dealing with red, itchy skin around the stoma and issues with the adhesive not sticking well. If you're experiencing these problems, here are some helpful tips and insights that might make things a bit easier:

1. Consider changing adhesives or brands:
- If you notice persistent redness over the entire area, it might be an allergy to the adhesive. Try different systems or an adhesive-free barrier.
- Different manufacturers use different glues, so reach out to them for free samples and test until you find one that your skin likes.
- Some people find relief by cutting off the small adhesive rim that causes irritation.

2. Use Domeboro medicated astringent solution:
- When changing your appliance, remove the wafer, wash with warm water, apply a Domeboro soak for at least 15 minutes, rinse or pat dry, and then place a new wafer.
- Repeat this routine with every change until your skin calms down. You can find coupons on the Domeboro website.
- Many people, along with their stoma nurses, have reported quick healing with this method.

3. Follow the correct "crusting" sequence:
- Apply stoma or karaya powder first, then use a barrier spray or wipe to seal the powder before applying the wafer or O-ring.
- Doing this in the wrong order can affect how well the adhesive sticks.

4. Expect shorter wear-time right after surgery:
- Post-surgery swelling and abdominal folds can cause leaks, so changing every 2-3 days or even experiencing 12-hour leaks is common until the abdomen flattens.

5. Try a "less is more" approach:
- Using fewer products, like just the wafer, ring, and adhesive remover wipe, can reduce skin reactions.
- M9 deodorant drops can be used inside the pouch without affecting your skin.

6. Patch-test products:
- Apply small samples of each product under separate clear dressings for 3-4 days to see which one might be causing redness.

7. Practical adhesion tips:
- Warm the wafer or belt area with a low-heat hair dryer before and after application, and blow-dry after showers.
- SkinTac, a wipe-on tackifier, can improve adhesion—just make sure the alcohol evaporates before placing the wafer.
- Antihistamine tablets can help reduce itching if mild irritation continues.

8. Give your skin some air time when possible:
- If your output type allows, leave the area uncovered for short periods. Colostomates can irrigate to have wafer-free hours.

These tips involve products like Domeboro medicated soak, SkinTac adhesive wipe, M9 deodorant drops, generic O-ring, and adhesive-free barriers.
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