Managing a Recessed Stoma and Skin Irritation

The discussion centers around managing a recessed or retracted stoma, which is below skin level, leading to skin irritation and burning during bowel movements. The original poster has tried various solutions, including convex bags and stoma paste, but continues to experience discomfort and is seeking advice on how to alleviate the burning sensation without compromising the seal of the ostomy appliance.

Advice and Insights

1. Consultation with a Surgeon:
- Consider discussing with a surgeon the possibility of a surgical revision to pull out the stoma.

2. Use of Barrier Rings:
- Try using a barrier ring underneath a convex wafer to absorb output and prevent it from reaching the skin.
- Hollister Adapt Convex Barrier Rings are recommended for better sealing and protection.

3. Skin Protectants:
- Marathon Liquid Skin Protectant is suggested for its breathable properties that help the skin heal, though it may be expensive.
- Domeboro medicated soak can be soothing for irritated skin.

4. Product Recommendations:
- Hollister products, particularly a two-piece system, are recommended for their quality and effectiveness in managing a recessed stoma.
- Ensure the barrier ring is applied correctly to seal around the stoma and prevent leaks.

5. Application Techniques:
- A method involving powder and skin protectant wipes in layers (powder/skin protectant wipe/powder/skin protectant) can help manage skin irritation and improve adhesion.
- Applying the barrier ring on the base plate instead of directly around the stoma can ensure a better seal.

6. Additional Tips:
- Consider using a flow-assist device to help keep waste off the skin.
- Keep the application process simple to avoid complications with adhesion and skin irritation.