This topic is about finding ways to heal peristomal ulcers, especially when you don't have easy access to a local ostomy nurse. An experienced ostomate is seeking advice from others who have dealt with similar issues. Here are some helpful suggestions and insights shared by fellow ostomates:

1. Silver Dressings
- Some have found success using Convatec Aquacel Ag, a silver-impregnated felt dressing. Cut it to the size of the ulcer, cover it with a Duoderm dressing, and then apply your wafer and bag. Leave it in place until your next appliance change, which is usually every 4–5 days. This method has been reported to stop pain immediately and help the ulcer close over about two months.
- For deeper ulcers, around 1 cm, pack small pieces of Aquacel Ag into the wound before covering. Initially, the edges might appear larger, but they tend to smooth out and look healthier as healing progresses.

2. Silver Alginate Cautions
- Be cautious with generic "silver alginate" dressings, as some users have experienced skin irritation and ulcer enlargement. If this happens, it's best to stop using them.

3. Antifungal Powder Approach
- Nyostate (prescription Nystatin) powder can be used by dusting a small amount onto a skin-prep pad, dabbing it on the affected area, and then applying two coats of protective spray, allowing each coat to dry thoroughly. Be mindful that using too much powder can weaken wafer adhesion, so you might need to change the appliance every 2–3 days until healing occurs.

4. Daily Wound-Wash & Packing Method
- Use Vashe wound wash by pouring it into the ulcer, letting it sit for a few minutes, blotting it dry, then packing with silver alginate and covering with gauze and tape. Doing this once daily can help the cavity fill in and close within about four weeks. Supplies like Vashe, silver alginate, and gauze can be purchased online.

5. General Tips & Reminders
- Allow weepy or bleeding skin to air-dry before applying products.
- A protective spray over any powder is crucial for good adhesion.
- If you're unsure about what's causing irritation, check your accessories, such as Eakin seals, as they might be the culprits.
- You can often get prescriptions for Nyostate/Nystatin or other products by calling your doctor. However, it's important to have the ulcers examined by a surgeon or qualified clinician whenever possible, as primary-care physicians might not have the necessary ostomy expertise.

These suggestions include using specific brands and products like Convatec Aquacel Ag, Duoderm, Nyostate/Nystatin powder, Vashe wash, silver alginate dressings, and Eakin seals.