Topic Explanation:
The discussion centers around managing raw and stinging skin around the edges of an ileostomy. The original poster has tried using stoma powder, calamine lotion, and adding water to the pouch, but continues to experience stinging once the pouch is applied. They are seeking advice on how to alleviate this discomfort.
Advice and Insights:
1. Consult a Stoma Nurse:
- It is recommended to see a stoma nurse to determine if the issue is due to a toxic barrier ring or wafer. A stoma nurse can also help identify if the problem is bacterial or fungal.
2. Check Flange Size:
- Ensure the hole cut in the flange is not too big or too small, as incorrect sizing can lead to skin irritation.
3. Use of Barrier Products:
- Consider using a barrier ring or barrier spray like Cavilon to protect the skin.
- Some users found success with moldable barrier rings to prevent stinging.
4. Alternative Treatments:
- Vicks VapoRub was mentioned as a remedy that worked for one individual, though it may not be suitable for everyone.
- Domeboro soak, an over-the-counter powder for weepy rashes, can help dry out and heal the skin.
5. Application Techniques:
- Use stoma paste in a thick ring around the flange hole to prevent leakage and irritation.
- A template for cutting the flange can ensure the correct size and prevent skin damage.
6. Product Sensitivity:
- Some barrier rings and wafers may be toxic to the skin, and switching to a different product, such as a Cera ring, may help.
7. Skin Care Practices:
- Allow the skin to breathe by keeping the bag off for a short period.
- Avoid changing the wafer too frequently to prevent skin damage. Find a change interval that works best for your skin.
8. Additional Products:
- Marathon was suggested as a product to try for skin protection.
By following these suggestions, individuals experiencing similar issues may find relief and improve the condition of their skin around the ileostomy.
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