When dealing with sore skin beneath the adhesive of an ostomy pouch, it can be quite uncomfortable. Here are some helpful tips to soothe and prevent this soreness:

1. Identify the Cause:
- Check for leaks. Any output that seeps under the wafer can quickly irritate the skin, especially if you have an ileostomy.
- Consider if you might have an allergy or contact dermatitis from the adhesive. If you suspect this, try a different brand or product line and do a patch test on the opposite side of your abdomen.

2. Remove the Appliance Gently:
- Use an adhesive-remover wipe or spray to loosen the adhesive, and peel it back slowly. Avoid yanking the wafer off, as this can make the skin tender or even cause it to break.

3. Seek Medical Care for Infections or Severe Burns:
- If you notice persistent redness, rawness, pus, or signs of cellulitis, it's important to get a medical assessment. You may need systemic antibiotics.

4. Ensure a Snug Wafer Fit:
- Cut the wafer to fit as closely as possible around the stoma, leaving no peristomal skin exposed. You can also use a moldable or stretch-to-fit barrier ring around the stoma before applying the appliance.

5. Follow a Layered Skin Protection Routine:
- When the pouch is off, apply a thin coat of cortisone cream and an over-the-counter antifungal, then lie flat for about 20 minutes.
- Rinse off with a mild cleanser and dry thoroughly.
- Apply Brava Barrier Cream, a light dusting of stoma powder, and then 3M Cavilon skin protector before attaching the wafer. Remember, cortisone should only be used short-term to prevent skin thinning.

6. Relieve Itching:
- Oral antihistamines like Benadryl can help ease itching related to irritation or allergies.

7. Be Open to Trial and Error:
- It might take some experimenting with different brands and combinations of rings, powders, and barrier films to find what works best for your skin. Brands like Hollister and Coloplast/Brava offer various options to try.