This topic is about a mother seeking advice on managing her 3-week-old baby's raw peristomal skin and a possible yeast infection after the baby received a colostomy. The mother is looking for gentle, natural products to help heal the skin and clear the yeast infection without causing pain.

Here are some helpful insights and advice:

1. Consider the possibility of an adhesive allergy. If the redness matches the shape of the wafer exactly, it might be a reaction to the adhesive rather than an infection or leakage.

2. It's important to get the area cultured to identify the specific organism causing the issue, as different organisms require different treatments:
- For Candida, a prescription for Nystatin powder is recommended. It doesn't sting and won't affect adhesion.
- For Malassezia (pityrosporum), treatments like fluconazole or itraconazole may be prescribed, either orally or topically, as advised by a physician.

3. To soothe and dry the raw skin:
- Use aluminum acetate soaks, such as Domeboro, which can be found at CVS or Amazon. Mix the powder with water and apply it gently to the area. This helps reduce inflammation without stinging. Avoid this if the baby has an aluminum allergy.
- Allow the area to air out whenever possible to promote healing.

4. Over-the-counter antifungal options include clotrimazole, miconazole, tolnaftate, and terbinafine. These are often found in athlete’s foot or jock itch treatments and may sting briefly but are effective against fungus.

5. If tape is necessary, consider using silicone tapes, like those used in NICUs, as they are gentler on the skin compared to standard ostomy tapes.

6. Try different products by requesting free sample kits from various manufacturers, such as Coloplast and Hollister, to find a wafer, tape, and pouch system that is gentle on the baby's skin.

7. Engage with specialists as soon as possible. An ostomy nurse, pediatric dermatologist, and the gastroenterology/surgery team can work together to provide coordinated care and help choose the best products for the baby's needs.