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Jun 24, 2025

Healing Tips for Irritated Peristomal Skin

Topic Explanation:
The discussion is about healing tips for irritated peristomal skin. The original poster has irritation around their stoma and is seeking advice on how to heal it. They mention that a nurse changes their bag every three days and only uses water to clean the stoma and surrounding area.

Advice and Insights:

1. Consult a Stoma Nurse:
- It is recommended to consult with a stoma nurse or wound care nurse for a proper diagnosis and personalized care plan.
- A stoma nurse can teach you how to change the bag yourself and diagnose the cause of the irritation.

2. Cleaning Practices:
- Many users agree that using just water to clean the stoma area is acceptable as long as the skin remains healthy.
- Some users suggest using an adhesive wipe after cleaning with water to remove any residue.

3. Skin Protection and Healing:
- Ensure the flange hole is cut to the correct size, ideally with a 1mm space around the stoma.
- Use a barrier spray after cleaning and drying the area to protect the skin.
- Consider using stoma powder or marathon for healing, though marathon can be expensive.
- A skin prep or diaper rash lotion may help clear up irritation.

4. Additional Tips:
- Make sure the skin is completely dry before applying any products.
- Use a stoma ring to help reduce leaks, especially if the output is watery.
- Try thickening crystals in the bag to manage watery output.
- Change the bag promptly if you feel any tingling, as it may indicate the bag has been on too long.
- If the adhesive starts to irritate the skin, consider changing the type of bag used.
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