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Mar 24, 2025

Why is my stoma shrinking below the skin barrier?

Topic Explanation:

The forum discussion revolves around a concern about a stoma shrinking below the skin barrier. The original poster is experiencing issues with their stoma retracting below the skin level, which is causing problems with their ostomy appliance. They are seeking advice on why this might be happening and how to address it.

Advice and Insights:

1. Use of Convex Wafers:
- Several participants suggest using a convex wafer, which can help pull the stoma out slightly if it dips below skin level.
- A convex wafer can have its own issues, such as causing soreness due to constant pressure, and may not completely prevent leaks.

2. Consultation with Healthcare Professionals:
- It is recommended to talk to a stoma nurse or doctor about the issue, especially if the stoma continues to retract below skin level.
- A consultation with a gastro surgeon might be necessary to explore the possibility of revision surgery to pull out a retracted stoma.

3. Support Belts:
- Adding a support belt can help maintain downward pressure to prevent leaks, although it may also cause discomfort or soreness.

4. Product Information:
- Participants discuss the importance of knowing the part number or description of the products being used to ensure they are suitable for the issue at hand.

5. Personal Experiences:
- Some users share their experiences of stoma retraction occurring a few months post-surgery and managing it with a combination of convex wafers and support belts.
- One user mentions achieving better management with a convex wafer and hernia support belt, allowing for longer wear time.

6. Consideration of Revision Surgery:
- Revision surgery is mentioned as a potential solution for a retracted stoma, though it should be considered after consulting with a healthcare professional.
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