Topic Explanation:
The discussion centers around dealing with sore skin around the stoma site. The original poster is experiencing increased redness and soreness despite careful cutting of the ostomy bag hole. They are seeking advice on how to alleviate the discomfort and prevent further skin irritation.

Advice and Insights:

1. Use a skin prep or liquid skin protectant like 3M Advanced Skin Protectant or Marathon to protect the skin and help the bag adhere better.

2. Clean the stoma and surrounding area multiple times a day, ensuring any stool between the stoma and wafer is removed. Consider showering to help remove adhesive residue.

3. Use barrier wipes and barrier rings to protect the skin. SALTS products, including barrier rings, are recommended for their effectiveness.

4. Consider Betamethasone Valerate FOAM for treating raw or sore skin, but be cautious of long-term use due to potential skin thinning. It requires a prescription.

5. Ensure all old adhesive residue is removed when changing the bag, and shave any hair where the wafer sits to improve the seal.

6. Check the size of the stoma opening regularly and adjust as needed. Hollister offers templates for cutting oval-shaped holes.

7. Use barrier creams like Brava or Cavilon for dry skin, ensuring the area is well-dried before applying the appliance.

8. If experiencing leaks, ensure the bag fits snugly and consider using seals or rings to prevent liquid breakthrough onto the skin.

9. For itchiness, consider using powder, skin protector, and antihistamines. Apply cortisone or fungal cream if necessary, but wash it off before applying the appliance.

10. If experiencing persistent issues, consult with an ostomy nurse for personalized advice and product recommendations.