Topic Explanation:

The discussion centers around a person experiencing persistent bleeding from the stoma site, specifically where the colon is attached to the stomach skin. The individual describes a small wound that does not heal, bleeds significantly, and allows waste to seep behind the adhesive part of the ostomy bag, directly onto the wound. Despite attempts to use seals and having the wound cauterized multiple times, it reopens with each bag change. The person is seeking advice on how to manage and heal the wound.

Advice and Insights:

1. Medical Consultation:
- It is advised to consult with a doctor or visit the hospital to have the wound examined.
- Contact a district nurse or a stoma nurse for specialized wound care assistance.

2. Crusting Technique:
- Use stoma powder and barrier wipes to create a crust over the wound. This involves applying stoma powder to the wound, dabbing with a barrier wipe, and repeating the process until a crust forms. This may take several treatments over a few weeks to notice healing.
- Ensure the area is completely dry before applying the ostomy appliance.

3. Product Recommendations:
- Consider using products like Kaltostat, which is made from seaweed, and dressings with Manuka honey, which have been helpful for others in similar situations.

4. Wound Assessment:
- Determine the exact location and depth of the wound, as effluent contact can prevent healing.
- If the wound is not healing, it is crucial to understand why, possibly with the help of a healthcare professional.

5. Hygiene and Care:
- Be meticulous with cleaning the area around the stoma to prevent infection and further irritation.
- Use products like mercurychrome liquid and stoma powder around the skin surrounding the stoma, but not directly on the stoma itself.

6. Monitoring for Complications:
- Watch for signs of infection such as fever, pus, or changes in the stoma's color to grey or black, and seek immediate medical attention if these occur.