This topic is about dealing with persistent skin irritation around the stoma, specifically when swimming, for those who have an ostomy. The irritation is believed to be caused by an allergy to the adhesive used in ostomy products. Here are some strategies and insights shared by others who have faced similar challenges:
1. **Waterproof Covers**: Use an external waterproof cover to replace the adhesive collar. Products like OPSITE Flexifix or 3M Tegaderm can be applied in strips over the wafer to keep it watertight during swimming.
2. **Non-Adhesive Barriers**: Consider using a non-adhesive barrier between your skin and the adhesive. The 3M Cavilon No-Sting Barrier Film can be applied under tapes or wafer collars to prevent contact allergies and make removal easier.
3. **Flange Extenders and Tapes**: Try different flange extenders and tapes designed for sensitive skin. Salts Healthcare offers curved flange extenders, and Hy-Tape is known for its strong hold, though it may require an adhesive remover for easy removal.
4. **Specialty Wound Dressings**: Use wound dressings like Mepilex Lite Foam Dressing to protect irritated skin. Place the dressing over the affected area and apply the wafer on top to allow healing.
5. **Adhesive-Free Systems**: Explore adhesive-free or minimal-adhesive systems. Nu-Hope offers adhesive-free pouching systems, and Hollister's Hollyhesive skin barriers can be customized to protect healing skin.
6. **Identify Allergens**: Investigate whether the irritation is due to an allergen or cumulative trauma. Perform a systematic elimination of products like barrier wipes, adhesive removers, and soaps to identify potential irritants.
7. **Healing Between Changes**: Assist healing by using Domeboro astringent soaks followed by dilute vinegar. Zinc oxide powder can also be used sparingly, protected by a breathable dressing.
8. **Technique Refinements**: Ensure your skin is completely dry and free of residue before applying new products. Some find that more frequent changes reduce trauma, while others benefit from longer wear times.
9. **Supportive Gear**: An ostomy belt can help keep the weight off the irritated area. Swimming without a pouch might be an option for some, depending on individual needs and environment.
These suggestions aim to help manage the irritation and maintain a watertight seal for swimming, even when the usual adhesive products are intolerable.
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