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May 04, 2025

Help Needed for Stinging Ileostomy Edges

The topic is about dealing with stinging and raw skin around an ileostomy, which can be quite uncomfortable. The person experiencing this issue has tried several remedies like stoma powder and calamine lotion, but nothing seems to help. Here are some suggestions and insights that might provide relief:

1. Check the fit and sizing of your appliance:
- Ensure the hole in the flange or wafer is the right size. If it's too large, output might leak onto your skin, and if it's too small, it could press on your skin or stoma, causing irritation.
- Use a cutting template from a stoma nurse or try a slightly larger opening with a moldable barrier ring for a better seal.

2. Consider possible allergies or chemical irritation:
- Test an unused wafer or pouch on another part of your body, like your thigh, to see if you have a reaction. This could indicate an allergy to the adhesive or barrier ring.
- Some people have found relief by switching to a different product, like the CeraRing from Hollister.

3. Treat or rule out infections:
- Have a stoma or WOC nurse check for bacterial or fungal infections. A prescription like Nystatin has helped others with fungal rashes.

4. Strengthen the skin barrier:
- Apply a barrier ring or a thick ring of stoma paste around the flange opening.
- Use a skin-prep or barrier spray, such as 3M Cavilon or Marathon, before applying powder and the wafer.

5. Soothe or dry the raw area with home remedies:
- Some have found relief with Vicks VapoRub on the raw skin, though it may not work for everyone.
- Domeboro powder solution compresses can help dry weepy rashes and speed up healing.
- Allow the skin to air-dry by leaving the pouch off for short periods.

6. Handle and change your appliance carefully:
- Remove wafers slowly and as infrequently as possible to avoid stripping the skin. Find a change schedule that works for you; some have success with a 10-day interval.

7. Additional tips:
- If you suspect the wafer’s material is causing issues, try a different manufacturer or a moldable hydrocolloid ring.
- Consult a certified stoma nurse for an in-person assessment and to try different products.

These suggestions include products like Hollister CeraRing, 3M Cavilon No-Sting Barrier Film, Marathon skin protectant, Nystatin, Domeboro Astringent Solution, and Vicks VapoRub, among others.
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