This topic is about managing granulomas, which are small growths that can form around a stoma, especially when the stoma is almost level with the skin or slightly retracted. The person in question prefers using a flushable pouching system, even though a shallow convex wafer might be more suitable for their situation. They are looking for ways to deal with these granulomas, particularly since they have heard about using silver nitrate but are curious about other options.

Here are some helpful insights and advice:

1. Silver nitrate sticks are often considered the most effective method for removing peristomal granulomas.

2. A styptic pencil, which contains aluminum sulfate, can help stop any bleeding from the granuloma, although it won't remove the tissue itself.

3. There are medical alternatives that a healthcare professional can perform or prescribe:
- Cryotherapy, which involves freezing the granuloma off.
- Ultraviolet light therapy.
- Topical steroid creams, which might help shrink the tissue, though they are generally seen as less effective than silver nitrate.

4. It's important to have a healthcare professional evaluate the granuloma to ensure there is no underlying infection before starting any treatment.