This topic is about someone who is experiencing painful mucocutaneous separation around their new loop ileostomy, which is a type of stoma. This condition involves the skin pulling away from the stoma, causing discomfort and pain. Here are some helpful insights and advice for managing this situation:

1. Understand that the issue is mucocutaneous separation (MCS), not just simple skin irritation. This condition often appears 10 to 20 days after surgery and, while painful, it usually heals over time.

2. It's important to seek prompt medical evaluation from a surgeon or physician, rather than just a stoma nurse. MCS can lead to serious complications like infection or sepsis, especially in ileostomies. Consider sending photos or arranging an in-person exam, and don't hesitate to seek a second opinion if needed.

3. Try the protective "crusting" technique to help with healing. Dust Stoma Powder on the affected area, dab with a skin-barrier wipe, and let it dry before applying the appliance. Many have found this method provides quick pain relief and helps the area heal in about 10 days.

4. Keep the area dry and allow the stoma some "air time" between pouch changes to promote healing. It's normal to still have dissolvable stitches shortly after surgery.

5. Barrier rings are generally less messy than paste for new ostomates. Use a ring that fits closely to the stoma to minimize leakage into the separation.

6. For temporary pain relief, consider using over-the-counter 5% Lidocaine cream, which can numb the area for 20 to 30 minutes. However, limit its use and consult a doctor, as long-term use may thin the skin.

7. Many people with similar experiences have found that the separation closed on its own. Keep an eye out for signs of infection, such as odor, pus, or fever, and keep your surgeon informed.

8. If the gap remains wide or the stoma does not adhere to the skin after healing, revision surgery might be necessary to ensure a tight seal and prevent chronic leakage.

These steps can help manage the condition and promote healing, but always consult with healthcare professionals for personalized advice.