This topic is about dealing with issues related to stoma wafer adhesion and skin irritation. The person experiencing these problems finds that their wafer keeps lifting off, causing the skin around their small stoma to become red, sore, and irritated. Despite trying stoma powder and switching from a pre-cut barrier ring to paste, they are still frustrated and plan to see their surgeon soon. They are looking for suggestions to improve adhesion and soothe their irritated skin.

Here are some helpful tips and advice:

1. Leave only about a 1/8-inch (3 mm) gap between the wafer and the stoma. Fill any dips with a small amount of stoma paste or a trimmed piece of an Eakin Seal.

2. For skin preparation:
- Use remover pads to take off all paste and adhesive.
- Wash the area with warm water and a gentle, non-oily soap.
- Make sure the skin is thoroughly dry. Many people use a blow-dryer on a cool or low setting to ensure no moisture or oil remains.

3. To treat red, irritated skin:
- Apply a tiny amount of Monistat cream on the reddened area, which can help if the irritation is yeast-related.
- Allow the cream to absorb for a few minutes.
- Use a protective skin wipe and let it dry completely before moving on.

4. For wafer application:
- Apply stoma paste sparingly and wait until it becomes tacky rather than wet.
- Consider using a Hollister convex wafer, as some people report good adhesion with it.
- After positioning the wafer, hold gentle pressure on it for about one minute.
- Attach the pouch, add M9 odor-control drops inside, and secure it with an ostomy belt that is snug but not too tight.

5. For wear-time tips:
- Some users report a 7-day wear time with this routine. Rare "blow-outs" usually happen during sleep, so it's a good idea to empty the pouch before bed and avoid eating late at night to reduce the risk.

6. If problems persist, it might indicate an adhesive allergy or an ongoing yeast infection. It's important to consult with a surgeon or stoma nurse for an assessment and possible product adjustments.