The topic is about using silver nitrate to treat granulomas around a stoma. Granulomas are small, often red, bumps that can form around the stoma site. If you're scheduled for this treatment, here's what you might want to know:

1. **How the treatment works**: Silver nitrate is a combination of nitric acid and silver. It works by cauterizing the granuloma. When the stick touches the moist tissue, it "burns" the granuloma, and the silver helps to control any bleeding.

2. **What it feels like**: The treatment is generally painless when applied correctly to the moist tissue of the granuloma. However, if it touches healthy skin, it might sting. Usually, no anesthetic is needed.

3. **Number of treatments needed**: You might need several short applications. The process stops before it becomes painful, and you may require multiple visits to the clinic or sessions at home until the granuloma shrinks.

4. **Using the product**: Each silver nitrate stick can be used multiple times until the chemical is used up, so don't throw it away after just one use. These sticks are available online and can be used at home if you feel comfortable doing so.

5. **Practical tips**:
- Make sure what you're treating is indeed a granuloma, as small lymphoid bumps in the bowel wall can look similar.
- Avoid overtreating; if the bumps are tiny and not causing issues, it might be best to leave them alone.
- Be careful to avoid contact with the surrounding healthy skin to prevent irritation or burns.