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Nov 29, 2024

Severe Allergic Reaction to Ostomy Wafers and Cera-Ring

Topic Explanation:
The discussion revolves around a severe allergic reaction to ostomy wafers and Cera-Rings, specifically experienced by a person who is six weeks post-colostomy. The individual has a history of allergic reactions to adhesives, polyethylene, and plastics, which exacerbates the issue with the ostomy appliances. They describe intense discomfort, including itchy, angry blisters and bleeding around the perimeter of the wafer and Cera-Ring, which worsens with different brands and materials. The person seeks advice on how to manage or alleviate these reactions given their sensitive skin condition.

Extracted Advice and Helpful Insights:
1. Exploring Different Brands and Products:
- Request samples from various companies like ConvaTec, Coloplast, Safe n Simple, and Marleen to test for allergic reactions.
- Consider non-adhesive systems such as those offered by Nu-Hope, which might be more suitable for sensitive skin.

2. Adhesive Modification Techniques:
- Modify the adhesive part of the barrier by cutting it off and using a non-adhesive alternative like a large silicone O-ring, secured with a belt.
- Use heat (e.g., hair dryer) to modify the properties of the ring to better suit personal comfort and fit.

3. Skin Care and Preparation:
- Use no-sting paste and stoma powder to create a protective barrier on the skin.
- Ensure the skin is dry and free from any creams or residues before applying new appliances.
- Consider using antihistamines and sprays like Flonase to manage skin reactions and use advanced skin protectants like Cavilon.

4. Alternative Skin Protection Strategies:
- Employ protective sheets (e.g., Coloplast Brava protective sheets) to cover the area under the wafer and ring, allowing the skin to heal.
- Use barrier extenders to provide a dry surface and some protection around the stoma.

5. Professional and Peer Support:
- Consult with a dermatologist and a specialized ostomy nurse to explore suitable products and care routines.
- Engage with forums and support groups for emotional and practical support, and consider mental health therapy for coping with the psychological impact of ostomy and related health issues.

6. Personalized Adjustments and Testing:
- Regularly adjust and test different configurations of ostomy appliances to find the most comfortable setup.
- Keep experimenting with
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