The topic is about dealing with a crusty buildup around a stoma, which can be a new and concerning issue for someone with an ostomy. The person experiencing this has had peristomal infections before and uses a prescription cream, but this dry, crust-like residue is something new. They are reaching out to see if others have had similar experiences and what it might mean.

Here are some helpful insights and advice shared by others:

1. Recessed Stoma and Leaks: A recessed stoma, which is flush or retracted, can often lead to output seeping under the wafer. This can cause skin irritation, burning, and crusting.

2. Consider a Convex Wafer:
- Some have found success with the Convatec moldable convex flange (2-piece) in the past.
- Others now prefer the Coloplast Flex-Pro convex flange due to changes in adhesive by Convatec.
- You can request samples of convex wafers directly from Convatec and Coloplast, as both companies are willing to send trial products upon request.

3. Improve Appliance Fit and Pressure: Using a convex wafer along with an ostomy belt can help maintain pressure around a recessed stoma, reducing the chance of leaks.

4. Neutralize Acid-Burned Skin Before Re-pouching:
- Dab the irritated skin with a liquid antacid like Maalox or Mylanta to neutralize digestive enzymes.
- Let it dry, then apply a skin-prep pad to create a protective film before placing the new wafer.
- Once the skin heals, you can stop using the antacid step.

5. Education and Professional Help: The United Ostomy Association of America (UOAA) offers a national conference with an on-site stoma clinic staffed by WOCN nurses, free product samples, and educational sessions. More information can be found at www.Ostomy.org.