Topic Explanation:
The discussion revolves around an individual experiencing severe discomfort due to skin stripping around their stoma, which is described as mucocutaneous separation. This condition involves the skin detaching from the stoma, causing significant pain. The individual has tried various products like stoma paste and rings, but the pain persists. They are seeking advice on how to manage this issue effectively.

Advice and Helpful Insights:
1. Understanding the Condition:
- Mucocutaneous separation is a complication where the skin detaches from the stoma, often occurring around 10 days post-surgery and can be very painful.

2. Product Use and Application:
- Avoid using alcohol-based products (like certain pastes and wipes) as they can cause stinging and further irritation.
- Use a no-sting paste to prevent additional discomfort.
- Apply a thin layer of stoma paste around the stoma to fill gaps and ensure it adheres well to the skin. Use a tool like a coffee stir stick for application to avoid messiness.
- To remove old paste, gently scrape it off with a flat tool and clean any residue with the abrasive side of a sponge.

3. Medical Consultation and Care:
- It is crucial to consult with a healthcare professional, preferably a doctor, to evaluate the condition properly.
- Mucocutaneous separation can lead to serious complications like infection or sepsis, especially in patients with ileostomies.
- Consider getting a second opinion or discussing the issue with a gastroenterologist if the problem persists or worsens.

4. Home Care Tips:
- Some users have found relief using stoma powder and barrier wipes to manage irritation.
- Lidocaine cream may provide temporary pain relief but should be used cautiously and not as a long-term solution without consulting a doctor.

5. Monitoring and Patience:
- Keep a close watch on the condition of the skin around the stoma. Healing can vary from person to person and may take time.
- Allow the affected area some air time to aid in healing, as suggested by some ostomy patients who have experienced similar issues.

By following these guidelines and consulting with healthcare professionals, individuals experiencing mucocutaneous separation can manage their symptoms more effectively and potentially expedite the healing process.