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Oct 23, 2025

Cohesive Ring Swelling Around Stoma: Need Advice

This topic is about dealing with a cohesive barrier ring that swells around a stoma, which can be a bit concerning for someone who is new to managing an ostomy. Here are some helpful tips and advice to make this process a little easier:

1. It's normal for the barrier ring to swell, a process often called "turtle-necking." This is actually a good thing because it helps create a seal to prevent leaks.

2. When you change your ostomy appliance, the barrier ring usually comes off with the wafer or base plate. If any residue is left behind, you can gently peel it off.

3. You can safely use adhesive-remover spray or wipes around your stoma. The natural mucus on the stoma provides some protection, so you might only feel a slight sting on the surrounding skin.

4. For the best results, place the barrier ring directly on your skin or attach it to the base plate before applying the wafer or bag.

5. If your skin becomes irritated, try the "crusting" method. Lightly dust the irritated area with stoma powder, blot it with a barrier wipe, and let it dry. Repeat this process once more before applying the barrier ring and wafer.

6. Consider using products like Hollister barrier rings, adhesive-remover spray or wipes, stoma powder, and barrier wipes, as they are designed to work well together.

7. For visual guidance, you can watch a helpful instructional video on using barrier rings by Hollister on YouTube.

8. If you're still unsure or if the irritation persists, it might be a good idea to schedule a session with a stoma or ostomy nurse for some hands-on guidance.
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