This topic is about managing skin irritation around an ostomy site, specifically using Cortizone-10 spray to help with issues like rashes, blisters, and itching caused by adhesive sensitivity. Here's a breakdown of the approach and some additional advice:
1. The person experiencing irritation tried using Cortizone-10, an alcohol-free hydrocortisone spray, on the irritated skin around their ostomy. They let it dry, which happens quickly and leaves no residue.
2. After the Cortizone-10 spray dried, they applied their usual barrier spray before attaching the ostomy appliance.
3. This routine resulted in no itching and a noticeable reduction in redness after just one change.
Additional considerations and advice include:
1. The person was hesitant to use Flonase, as it is typically for nasal use, not for the skin.
2. Due to concerns about skin thinning, they plan to use the Cortizone-10 spray only every other bag change until their scheduled ostomy reversal in a few months.
Advice and insights from others:
1. Topical steroids like Cortizone-10 should be used only for short periods. Long-term or frequent use can lead to skin thinning and increased fragility. It's important to consult a doctor or pharmacist before continuing use.
2. Once the rash clears, it's advised to stop using the steroid and save it for future flare-ups.
3. An alternative steroid option is Flonase (fluticasone propionate nasal spray). Some people use it on red areas during a change, and the redness usually resolves by the next change. They find they only need it about once every two weeks.
4. For a steroid-free option, Domeboro/Domaboro powder packets can be used. Dissolve them in warm water, soak a soft cloth, and press it onto the area for 10–15 minutes. This helps draw out moisture and promotes healing without the risks associated with steroids.
5. Experiences with barrier products vary:
- Convatec moldable barriers can cause allergic reactions in some users.
- Hollister barriers with Ceramide are gentler on the skin but are only available in cut-to-fit options. They may adhere better in high heat and humidity.
6. The general consensus is that any topical medication, especially steroids, should be approved by a healthcare professional and used only as long as necessary.
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