This topic is all about finding ways to minimize the use of ostomy gear while dealing with a skin rash caused by the bag. After years of experimenting, the person sharing their experience has found a setup that works for them, but a new challenge has arisen: a heat-type rash on the lower belly. Here are some strategies and insights they are exploring:

1. They have settled on using a very small pouch with two barrier wraps, which is gentle on the skin and works even with a parastomal hernia. A loose top helps to conceal everything.

2. To address the rash, they are trying to wear the pouch sideways, which is easier on the skin but makes it harder to empty.

3. They plan to use prescription Nystatin Powder to help with the rash once they obtain it.

4. Many creams have been tried, but pouch covers or bibs tend to slide off because the top of the pouch is very thin.

5. They have reached out to ConvaTec for alternatives, hoping for a cloth-backed pouch that still offers a clamp closure and a clear front.

6. In the meantime, they are using a small "IGGIE" clip to attach the bottom of the bag to the top, creating an air gap so no plastic touches the skin.

Here are some additional tips and insights:

- For skin protection, use moldable barrier rings, stoma powder (known as "crusting"), and skin-barrier spray or swabs like 3M Cavilon to protect the skin around the stoma. Nystatin Powder is effective against heat or yeast rashes.

- Consider alternative pouches or accessories. Some find Hollister 2-piece systems work well and reduce the need for experimentation. ConvaTec pouches may cause less itching than Hollister, while Coloplast might feel bulkier. Be aware that hot weather can weaken flange adhesive, regardless of the brand.

- For rash relief, apply diaper or nappy-rash cream to irritated skin. Insert an absorbent layer, like a baby’s bib or cotton bag cover, between the pouch and skin to wick moisture away, as plastic can trap moisture and encourage yeast. Use wraps with pockets or wear a "boob tube" under the pouch to keep plastic off the skin. If space is tight, a soft headband or similar narrow fabric can be tried.

- To secure covers and prevent slippage, fasten covers or bibs with inexpensive scrap-booking "glue dots" between the pouch and cover, replacing the dot at each change. A Stealth Belt can hold the pouch horizontally during activities and help keep the area cooler. Loose-fitting polyester shirts can also help with ventilation.

- For hernia and leak management, Eakin Cohesive® rings provide a better seal around the stoma but may leak sooner if you are very active. Lightly lubricate the flange with 1–2 drops of machine oil to rotate the pouch more easily, but be cautious as excess oil could weaken adhesion when the bag is very full.

- The IGGIE clip (mini) is a handy tool for temporarily clipping the bottom of the pouch upward, creating an air gap and preventing plastic-skin contact.