This topic is about the redness and soreness of the skin around a new stoma, which can be concerning, especially for someone who is paraplegic and has limited sensation in that area. The person is wondering if this is normal one week after surgery and how long it might take for the skin to calm down.

Here are some helpful insights and advice:

1. Check the size and location of the irritated area:
- If the irritation is right at the edge of the stoma, it might be due to seepage getting under the seal.
- If a larger area is affected, it could be an allergic reaction or sensitivity to the wafer adhesive.

2. To improve the seal and protect the skin, consider:
- Using a convex wafer instead of, or in addition to, a flat barrier.
- Adding a barrier ring to fill gaps and prevent leaks.

3. Create a protective layer on the skin by following this sequence:
- Apply a skin barrier wipe, then stoma powder, and finish with a second barrier wipe to lock the powder in place.

4. Consult your stoma nurse about "fusion sticks," which are available on UK prescription and are reported to quickly calm redness.

5. Some people find relief from irritation by using spray calamine lotion, but make sure to spray only after covering the stoma opening.

6. Avoid using creams or lotions not specifically designed for ostomy care, as they can prevent the wafer from sticking properly and worsen leakage.

7. Address any problems early with your stoma or enterostomal nurse, as unmanaged irritation can lead to an open wound.

8. Re-evaluate the size and shape of the wafer opening if the redness is right at the base of the stoma. Even a snug cut-out can allow seepage if not shaped correctly.

9. When seeking help, identify your specific type of ostomy (colostomy, ileostomy, urostomy), as product choices and leak risks can vary.