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Mar 27, 2025

Advice Needed for Blister Under Ileostomy Bag Seal

Topic Explanation:

The discussion centers around a user who has discovered a blister on their skin at the outer edge of the adhesive seal of their ileostomy bag. The blister is not near the stoma itself but is positioned where the adhesive seal sits. The user is seeking advice on how to manage the blister without compromising the seal of the ileostomy bag.

Advice and Insights:

1. Cutting the Wafer:
- Several users suggest cutting a small portion off the edge of the wafer to avoid the blister, ensuring it does not compromise the adhesion of the bag. This approach aims to prevent irritation or bursting of the blister during bag changes.

2. Use of Protective Powder:
- Consider using a protective powder to help manage the blister and protect the skin under the adhesive.

3. Monitoring and Dressing:
- Keep a close eye on the blister as it can worsen. If necessary, use a dressing over the blister to aid healing, which can be obtained from a stoma nurse.

4. Silver Nitrate Caution:
- Silver nitrate is mentioned as a treatment for blisters and granulomas, but it is advised to use it as a last resort due to the potential for significant pain.

5. General Care:
- Be exceptionally careful when changing the appliance to avoid further irritation until the blister heals.
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