Topic Explanation
Sue seeks advice for her husband's persistent stoma rash, which developed after a colostomy due to a ruptured intestine. They lack proper guidance and support, and their insurance does not cover the necessary supplies.
Advice and Insights
- Seek medical advice to identify the rash and its cause, as it may require swabbing to check for infection.
- Use an antibiotic powder and a skin protector like "Cavilon" or Mylanta before applying the adhesive paste and flange.
- Access ostomy-specific nurses, online chat rooms, and ostomy support groups for specialized help and advice.
- Ensure the area around the stoma is clean and dry before applying skin prep, anti-fungal powder, and the flange.
- Consider using specific ostomy products like Coloplast #15623, request samples from manufacturers, and explore Medicare or Medicaid options for coverage.
- Use Nystatin powder, Cavilon spray, or Nexcare's No Sting Liquid Bandage to treat the rash.
- Contact ostomy product manufacturers directly for samples and cost-effective supplies.
- Avoid shaving around the stoma and use a release spray with vitamin E, and consider exposing the stoma to sunlight for short periods.
- Consider using antihistamines or Domeboro solution for rashes and folliculitis.
- Explore alternative suppliers like Osto Group for affordable ostomy supplies.
- Use a mixture of 50% vinegar and 50% water to clean the stoma area, and avoid using heated blow dryers.
- Consider trying different brands of ostomy products to address potential adhesive allergies.
- Seek support from local ostomy support groups and consider moving to areas with better insurance coverage for ostomy supplies.
- Use LaVera Barrier Cream or Domeboro solution to address skin rash, and gradually re-train stoma tolerance to different foods.
- Consider seeking medical advice for allergic reactions to ostomy adhesives and explore alternative treatment options like Nasonex nasal spray.
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