This topic is about dealing with a long-term yeast-type rash under an ostomy wafer. The person experiencing this issue has tried many treatments without success and is looking for alternatives to using prednisone, a steroid that has caused them significant side effects over the years. Here are some suggestions and insights shared by others who have faced similar challenges:

1. Antifungal powders and creams:
- Use Mycostatin or Nystop powder sparingly to ensure the wafer adheres properly.
- Mix Zabsorb AF powder with Stomahesive powder, cover with a skin-barrier sheet, then apply the appliance.
- Consider short contact treatments with Gold Bond Medicated Powder or athlete-foot powders.

2. Systemic antifungals:
- Fluconazole (Diflucan) can be taken as 200 mg daily for 10 days or as a single high-dose regimen to tackle stubborn yeast infections.

3. Diet and probiotics:
- Reduce intake of sugar, starches, beer, and sweet drinks that can feed yeast.
- Increase consumption of live-culture yogurt, acidophilus tablets, and oral probiotics. Some people apply live yogurt topically for pH control.
- A book called “The Yeast Connection” might offer additional insights.

4. Moisture control and skin-drying techniques:
- Keep the skin dry using a hair dryer on a cool/warm setting and avoid wetting the area during showers.
- Change the wafer every 3–4 days.
- Use the “crusting” method with diaper-rash barrier, nystatin powder, and barrier wipes.
- Eating marshmallows before changing the appliance can slow output, allowing more drying time.

5. Barrier sheets and alternative wafers:
- Use Coloplast Brava Protective Sheets to absorb moisture and prevent adhesive reactions.
- Try wafers without tape borders to rule out tape allergies.
- Consider using an extra wafer beneath a convex system to separate adhesive from the skin.

6. Other topical agents:
- Vanos cream for allergic or eczema components.
- Hydrocortisone around the outer edge while keeping the center antifungal.
- Milk of Magnesia for short-term healing.
- Colloidal silver for deep ulcerated areas.
- Kenalog or Clobetasol spray for psoriasis or Crohn’s-related skin issues.

7. Checking for alternative diagnoses and product allergies:
- Consult a dermatologist or ostomy nurse to test for conditions like psoriasis or contact allergies.
- Persistent rashes might be due to adhesive sensitivity rather than yeast.

8. General appliance tips:
- Change the pouch every 3–4 days to avoid skin problems.
- Use systems that allow bag changes without removing the wafer.
- Consider using a support belt to reduce movement and leaks.

9. Online resource:
- Visit www.yeastinfectionadvisor.com/skin-yeast-infections.html for more at-home and dietary approaches.