Topic Explanation:
The discussion revolves around finding effective solutions for irritated skin around a stoma, specifically an ileostomy. The original poster is seeking advice on topical treatments that can soothe the skin and improve the adhesion of the ostomy appliance, which is currently compromised due to skin irritation and leakage.
Helpful Insights and Advice:
1. Consultation with Professionals:
- Seek advice from a stoma nurse or visit a stoma clinic for professional guidance and to explore different products that might suit the individual needs better.
- Consider seeing a wound care nurse if a stoma nurse is not available, especially if the skin condition is severe.
2. Product Recommendations and Adjustments:
- Try different brands and types of products, such as different adhesives, barrier rings, or pouching systems, to find the one that causes the least irritation or allergic reaction.
- Use skin prep products to ensure the skin is dry before applying the ostomy appliance.
- Consider using non-adhesive barriers or products like Cavillon Advanced Skin Protectant for severe skin irritation.
- Experiment with convex barriers if the stoma is recessed or flush with the skin to improve the seal and prevent leaks.
3. Home Remedies and Over-the-Counter Solutions:
- Some users have found relief using unconventional methods like Vicks VapoRub or Head & Shoulders shampoo to reduce irritation.
- Barrier creams or sprays, such as aerosol steroids like beclometasone, may help reduce inflammation without interfering with appliance adhesion.
4. Techniques for Appliance Management:
- Ensure the appliance fits well and is changed frequently enough to prevent exacerbation of skin issues.
- Consider using techniques like crusting with powders or pastes to protect the skin around the stoma.
- Allow the skin to breathe and heal by exposing it to air when possible, and ensure thorough cleaning and drying of the area before appliance reapplication.
5. Diet and Lifestyle Adjustments:
- Monitor and adjust diet to manage output consistency, which can affect skin condition around the stoma.
- Use medications like loperamide to reduce the frequency of output if necessary.
6. Exploration of Advanced Products:
- Look into advanced skin protectants and healing barriers that might offer better protection and healing properties.
- Obtain samples from manufacturers like Coloplast, Convatec, and Hollister
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