Topic Explanation:
The discussion in the forum revolves around finding effective products and methods to prevent skin breakdown around an ostomy. The original poster has been dealing with an ostomy for 22 years and is experiencing thinning skin and severe bleeding around the stoma site. They are seeking advice on products or techniques that could help manage or prevent further skin damage.

Advice and Helpful Insights:
1. Proper Appliance Fit and Leakage Check:
- Ensure that the ostomy appliance fits properly to prevent leakage, as improper fit can contribute to skin breakdown.
- If leakage is a problem, consider consulting with a healthcare provider to find a better-fitting appliance.

2. Use of Stoma Powder and No-Sting Spray:
- For sore spots caused by leaks, apply stoma powder followed by a no-sting spray. This creates a protective crust over the affected area, known as the "crust and dust" method.

3. Consultation with Healthcare Professionals:
- Seek advice from a stoma nurse, doctor, or wound specialist to get tailored advice and possibly professional adjustments to the care routine.

4. Barrier Rings:
- Use barrier rings to protect the skin around the stoma. Products like the aloe-infused barrier rings from Salts (a British company) can be particularly beneficial in maintaining healthy skin. Free samples may be available upon request from the manufacturer.

5. Consideration of Specific Stoma Characteristics:
- Tailor the choice of products and care techniques to the type of ostomy (ileostomy or colostomy), and specific features such as whether the stoma is retracted, has high output, or produces watery output.

6. Use of Antifungal Creams (e.g., Nystatin):
- For fungal infections or irritation, antifungal creams like Nystatin can be effective. However, it's important to ensure that the use of such creams does not interfere with the adhesion of the ostomy bag. Consulting with a healthcare provider on how to properly apply these creams without affecting the ostomy appliance is recommended.