This topic is about managing skin irritation and ensuring your ostomy appliance stays in place when using Nystatin Powder, especially after enjoying hot pools or saunas. Here are some helpful tips and insights:

1. General "powder-then-seal" method:
- Lightly dust the affected area with Nystatin or Stomahesive powder. Remove any excess until the skin looks dry but feels smooth.
- Seal the powder with a no-sting barrier film, such as 3M Cavilon No Sting Barrier Film wipes or spray, or Nexcare Liquid Spray Bandage.
- Allow the area to air dry for about 30 seconds before applying the wafer or flange.
- Have your wafer pre-cut and ready to apply quickly before the stoma becomes active.

2. Alternatives to wipes:
- Some people skip the barrier film and use only a very fine dusting of powder. This can still provide good adhesion, but it may require changing the appliance more frequently, every 1–2 days.

3. Additional skin-prep tips for longer wear time:
- Clean the skin around the stoma with warm water only, as soap can leave a residue that weakens adhesive.
- Use a Q-tip dipped in regular antiseptic mouthwash as an affordable antifungal/antiseptic wipe near the stoma.
- Warm the wafer under your arm to activate the adhesive before removing the backing.
- If the skin is weepy or you expect heavy moisture, "picture-frame" the wafer with tape for extra support.

4. Product references:
- Nystatin Antifungal Powder
- Stomahesive Protective Powder
- 3M Cavilon No Sting Barrier Film wipes & spray
- Nexcare Liquid Spray Bandage
- All-Care Barrier Wipes
- Caldesene (zinc) powder, Desenex powder
- Convatec 2-piece system with drainable pouches

5. Spa/hot-water caution:
- Spending extended time in hot pools, steam rooms, or saunas can soften the wafer adhesive and increase sweating under the flange tape. Plan to change your appliance no later than the day after visiting a spa.