This topic is about dealing with a persistent wound at the stoma-skin junction, which is causing bleeding and difficulty in healing. The person experiencing this issue is looking for practical solutions to stop the bleeding and promote healing. Here are some helpful suggestions and insights shared by others:

1. Seek professional assessment immediately. It's important to visit a stoma nurse, district nurse, or hospital doctor to understand why the wound isn't healing and to rule out any infections or complications.

2. Use the "crusting" technique to protect the wound. Lightly coat the wound with stoma powder, then dab with a skin-barrier wipe until the powder turns translucent. Repeat this process 2–3 times, let it dry, and then apply the wafer. Continue this technique for each appliance change over several weeks, as many have found it effective for healing shallow separations and bleeding sites.

3. Try specialized wound-care products if crusting alone isn't enough. Consider using Kaltostat, a calcium-sodium alginate dressing made from seaweed, to control bleeding and promote healing. Manuka-honey–impregnated dressings can provide antimicrobial action and aid tissue regeneration. Some users have also reported success with Mercurochrome liquid applied carefully to the peristomal skin (but not on the stoma) to help with healing.

4. Minimize trauma during appliance changes. Clean the area gently but thoroughly, ensure the wafer fits precisely, and adjust the system if the current setup re-opens the wound.

5. Monitor for warning signs. Be alert for symptoms like fever, pus, foul odor, or changes in stoma color (such as grey or black), which require immediate medical attention.

6. Clarify wound characteristics. Assess the depth, exact location relative to the stoma, and exposure to effluent, as contact with effluent will prevent healing until it is adequately sealed off.

7. Consider underlying factors. Discuss with healthcare providers if blood-thinner use, hyper-granulation tissue, or other systemic issues might be contributing to the persistent bleeding.