This topic is about a person who recently had a distal loop colostomy due to Crohn’s disease and slow transit. They are noticing a light-purple discoloration around their stoma, which is tender but not warm. They are wondering if this is just skin irritation or something more serious. Here are some helpful insights and advice shared by others:

1. Check the size of the wafer opening.
- If the hole is too tight, try enlarging it slightly and consider adding a sealing washer or barrier ring, like an Eakin Seal or Hollister CeraRing, to fill any gaps.

2. Consider if the appliance is causing bruising.
- Convex wafers can sometimes cause bruising, especially if they are rigid or tight. Switching to a softer or more flexible faceplate might help reduce discoloration.

3. Try different brands and request samples.
- Hollister “Soft Convex” pouches offer extra flexibility, and Coloplast SenSura Mio convex wafers are known for being pliable and comfortable. You can contact manufacturers for free samples to find the best fit and comfort.

4. Add a sealing washer or barrier ring.
- Many people find these rings essential for cushioning and preventing pressure marks. If it’s helping, continue using it.

5. Monitor for any worsening and seek medical advice.
- Keep an eye on any changes in color, spreading, heat, or increased pain. It’s important to see your surgeon or ostomy nurse promptly if the discoloration deepens or if the stoma color changes.

6. Timing of using convexity.
- Opinions vary, but some suggest avoiding rigid convex wafers in the first few weeks post-op while swelling and sutures settle. Others have had success with “soft” or “flexible” convexity immediately after surgery, especially when leakage risk is high.

7. General comfort tips.
- A wafer that moves with your body can reduce skin pressure. If bruising returns, reassess the fit, wafer rigidity, and your body position when applying the appliance.