This topic is about dealing with severe allergic reactions to ostomy wafers, rings, and adhesives. The person sharing their experience is facing significant skin issues after an emergency colostomy, and they are looking for ways to manage these reactions while waiting for a reversal surgery. Here are some helpful insights and advice for managing such allergies:
1. Try requesting free samples from various manufacturers like Hollister (non-Cera products), ConvaTec, Coloplast, SenSura Mio, Safe n Simple, Marlen, and Nu-Hope. Experiment with different wafers, rings, and barrier extenders to find one that your skin can tolerate.
2. Before using new adhesives around the stoma, patch-test them on the opposite side of your abdomen to check for any allergic reactions.
3. Consider using Nu-Hope's adhesive-less system, which uses a large silicone/plastic O-ring held by a belt, allowing your skin some "air-dry" time.
4. If the adhesive edge of the Hollister wafer is causing problems, you can cut off the adhesive border and use it with Hollister thin ring #7806, securing it with an ostomy belt.
5. Explore silicone-based products, as some people who are allergic to plastics find silicone wafers and tapes more tolerable.
6. For skin protection:
- Apply a barrier film or polymer barrier spray over intact skin before placing the wafer.
- Use Cavilon Advanced Skin Protectant for severe peristomal irritation, which can be obtained through a WOC nurse.
- If you suspect a yeast infection on weeping or broken skin, use Nystatin/Nystop, but avoid using stoma powder unless directed.
- Manage inflammation with Domeboro soaks, Flonase (a topical antihistamine spray), or oral antihistamines like Benadryl or Claritin.
7. Try using Coloplast Brava Protective Sheets by cutting a stoma-sized hole, covering the entire peristomal area, and then placing the ring and wafer on the sheet to keep adhesives off the skin.
8. Consider alternative rings such as Coloplast Brava Barrier Ring, ConvaTec Eakin Cohesive, Safe n Simple, Marlen, Heagi 4 mm rings, or Hollister's non-Cera ring.
9. When using hydrocolloid barrier extenders, apply them first around the stoma, then place the ring and wafer on top to prevent the wafer adhesive from contacting the skin. The effectiveness may vary depending on stoma protrusion and leakage risk.
10. Increase the frequency of changing your appliance, such as every other day, to reduce contact time and allow for inspection and steroid application.
11. Ensure gentle but thorough removal of adhesive with remover wipes, cleanse the area well (showering if possible), and allow full drying time before placing a new appliance.
12. Keep a belt snugly in place during positional changes to reduce mechanical stress if adhesive borders are removed.
13. Consult a dermatologist along with a WOC nurse for allergy testing and prescription topical management.
14. Consider mental health support, such as hypnotherapy, to help cope with any PTSD-like symptoms related to the situation.
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