Managing sore and red skin around the stoma can be a challenging experience. If you're dealing with this issue, here are some practical tips and insights that might help you find relief and prevent further irritation:

1. **Check for Leakage**: Make sure there is no output seeping under the wafer, as this can prevent the pouch from sticking properly and cause skin problems.

2. **Cleanliness and Routine Care**:
- Gently clean the stoma and the skin around it every time you change your pouch. Some people find it helpful to clean any seepage 3 to 4 times a day.
- Use soap and water in the shower to remove all adhesive residue.
- Change the wafer every three days, or sooner if you notice any leaking.
- Shave or clip any hair where the wafer sits to help improve the seal.

3. **Barrier Rings/Seals**:
- Use a barrier ring snugly against the stoma, and cut the wafer hole 1 to 2 mm larger than the stoma.
- Many people recommend SALTS Seals in the UK, but other generic rings can also be effective.

4. **Skin Protectants and Barrier Wipes**:
- Products like 3M Advanced Skin Protectant and Marathon form a protective film on irritated skin while still allowing the pouch to stick.
- Barrier wipes such as Salts Barrier Wipes and Cavilon (3M) wipes are easy to find and should be applied at every change.
- Brava Barrier Cream can soothe dry skin, but be sure to wipe off any excess before applying the wafer.

5. **Medicated Products for Acute Inflammation**:
- Betamethasone Valerate Foam, a prescription corticosteroid, can quickly clear raw skin and doesn't interfere with adhesion once dry. Use it only short-term to avoid thinning the skin.
- Stoma powder combined with skin-prep can be helpful for weepy, broken skin.
- Hydrocortisone or antifungal creams can be used between changes. Let them absorb and wash off thoroughly before reapplying the appliance.
- An oral antihistamine can help ease itching.

6. **Accessory Tips**:
- Hollister offers printable templates for cutting oval or custom-shaped wafer openings.
- In the UK, you can request Salts wipes and other supplies through delivery services like Fittleworth.
- While Marathon is effective, it can be expensive and might need to be ordered through an ostomy nurse.

These tips are designed to help you manage and prevent skin irritation around your stoma, making your daily routine a bit more comfortable.