This topic is about finding a solution to prevent adhesive-induced rashes for someone with a colostomy who uses a Hollister two-piece closed-end pouch. The person experienced a painful rash due to an allergy to medical adhesives. Here's a summary of their journey and some helpful tips:

- The bottom tape strip of the skin barrier caused a severe rash due to an adhesive allergy.
- Their current routine includes using a Hollister barrier ring, Coloplast Brava barrier spray, a dermatologist-prescribed steroid cream, and adhesive-remover wipes.
- They tried various solutions without success, such as different wafers, stoma powder, and barrier extenders.
- The successful solution involved cutting thin strips of 100% cotton cloth and placing them between the adhesive and the skin. This cotton flap keeps the area dry and allows it to heal while maintaining a secure fit with no leakage issues.

Additional insights and advice:

- If the rash worsens or changes, consult a dermatologist for a culture, as conditions like seborrheic dermatitis can mimic adhesive allergies. Treatments that have worked for others include Fluconazole and Zorvye foam.
- Inverse psoriasis can also present similarly, and keeping the area dry with air exposure is beneficial.
- A routine that helps some people includes using a barrier wipe, stoma powder, and barrier spray, changing the appliance every four days, washing the skin with baby shampoo, and using adhesive-remover spray or wipes.
- Extra skin protection ideas include using cotton pouch covers, Coloplast InterDry fabric, and Hy-Tape, which is hypoallergenic.
- Some find Triamcinolone Acetonide spray helpful for localized adhesive rashes.
- A universal tip is to air-dry the skin after removing the barrier for 15–30 minutes or longer to promote healing.