This topic is about a painful, small lump that someone named Lisa found on her stoma. She describes it as ulcer-like and very painful, especially when stool comes into contact with it. She's curious if others have had a similar experience.

Here are some helpful insights and advice:

1. The lump could be a granuloma or a stoma ulcer. These are common issues that can occur with stomas.

2. It's important to take a clear photo of the lump and show it to an ostomy nurse or doctor for a proper diagnosis. A picture can also help others provide more accurate advice.

3. Check if the wafer or pouch is rubbing against the same spot on the stoma, as mechanical irritation can lead to granulomas or ulcers. Adjust the fit if necessary to prevent further irritation.

4. Sometimes, small granulomas or ulcers can heal on their own. Keep an eye on the lump to see if the pain or size decreases over time.

5. To protect the area, you might try applying a thin layer of diaper antiseptic cream, like Sudocrem or a similar zinc-oxide barrier. This can help shield the spot and promote healing. Be sure to apply it only to the skin around the stoma, not directly on the stoma tissue itself.

6. If the pain continues or gets worse, it's important to seek help from an ostomy nurse or doctor to explore possible treatment options.