This topic is about dealing with a persistent rash and discomfort around a stoma. The poster's mother is experiencing a constant, red, itchy rash that sometimes burns, and they are seeking advice on how to alleviate it. Here are some helpful insights and tips:

- Common causes of the rash:
- Minor leaks of output under the barrier, as stoma effluent is acidic and can irritate the skin quickly.
- Frequent changes of the barrier, which can traumatize the skin.
- Allergic reactions or sensitivity to the adhesive of a particular wafer. It might be necessary to try different manufacturers and adhesive formulas.

- Routine to soothe an existing rash:
1. Plan to change the appliance when output is minimal, such as stopping eating or drinking several hours before bed and changing it in the morning when output slows.
2. Remove the appliance, wash the skin gently, apply a skin-safe rash ointment, and let the area air-dry for about 20 minutes.
3. Wash the area again to remove any ointment residue so the new barrier will adhere properly.
4. Lightly dust the red area with stoma powder, tap off the excess, and then apply the new wafer.
5. If the rash is severe, place a small piece of breathable gauze over the red patch before applying the wafer to keep adhesive off the damaged skin.
6. Check the healing progress at the next change, which often shows improvement in about five days.

- If the rash persists or worsens, consider the possibility of a yeast (fungal) infection, especially in hot weather when sweat collects under the wafer. To manage this:
- Use an over-the-counter anti-fungal powder.
- Use a layering method: apply powder, dust off, apply barrier spray, let it dry, and repeat the powder and barrier spray once more before applying the wafer.
- If over-the-counter measures do not work, consult a doctor for an oral anti-fungal medication like Diflucan (fluconazole).

- Act quickly, as untreated red spots can progress to weeping, oozing skin.