This topic is about a person experiencing shiny and occasionally rashy skin around their stoma, despite not having any leakage issues. They are wondering if the products they use, specifically from ConvaTec, might be causing these skin changes. Here are some insights and advice shared by others:
1. The person changes their appliance every other day, showers without wearing any equipment, and uses two ConvaTec Cohesive products around the stoma. They have noticed that the skin just outside the wafer sometimes becomes rashy and shiny.
2. The products they regularly use include ConvaTec Stomahesive Protective Powder, ConvaTec No-Sting Skin Barrier Wipe, and ConvaTec Adhesive Remover Wipes. Recently, the tape has been lifting easily, so they no longer need the adhesive remover for the wafer.
3. They are considering stopping the use of Stomahesive powder and barrier wipes for a trial period, continuing only with the remover wipe if needed. They use Dove Sensitive Skin soap, having found Dial Antibacterial too harsh.
4. The shiny skin might be affecting the adhesive's grip, although the skin otherwise looks healthy. They plan to consult a stoma-nurse hotline for further guidance.
Advice and insights from others include:
- Use powder only for broken or irritated skin, and always "crust" it with a no-sting skin-prep wipe. Continuous daily use can leave a film that causes shiny skin and weak adhesion.
- If the skin is healthy, a "less-is-more" routine is recommended: use mild soap, dry well, and then apply the wafer or ring with nothing in between. Some people have success with this approach, changing every 7 days.
- Shiny or rashy skin might be fungal (yeast) rather than product-related. Treat with antifungal agents like Desenex or wash the area with an anti-dandruff shampoo like Head & Shoulders.
- Consider other dermatologic causes such as inverse psoriasis or eczema, which can appear shiny under a moist wafer. Consult an ostomy nurse or dermatologist if symptoms persist.
- Some product substitutions mentioned include Salts Healthcare Aloe Barrier Rings, Marathon Skin Prep or generic spray barrier, and Dermol 500 lotion for washing with Sudocrem cream as a gentle barrier for eczema-type irritation.
- When irritation is controlled, avoid placing anything between the skin and barrier ring. Adhesion and skin health are best on clean, dry skin.
- Adhesive remover wipes or sprays are fine for appliance removal but should be thoroughly rinsed away before applying new gear.
- Monitor the skin after eliminating powder and barrier products. If the shiny layer resolves and adhesion improves, the chemicals were likely contributing. If not, seek a medical evaluation for fungal or dermatologic conditions.
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