This topic is about using 3M Cavilon to help heal and protect sore skin around a stoma, especially when the skin is persistently irritated and breaking down. The person sharing their experience has tried various products without success and is seeking advice on whether 3M Cavilon could be effective. Here are some insights and suggestions that might be helpful:
1. The "crusting" method involves applying layers of Stomahesive or Aloe Vera stoma powder followed by 3M Cavilon No-Sting Barrier Film. Let each layer dry before applying the next to protect the skin and help wafers stick better.
2. Make sure to use the correct product, which is the "3M Cavilon No-Sting Barrier Film." It comes in different forms like spray, wipes, or a 'lollipop' applicator.
3. If the wafer or pouch is causing irritation, try using a thinner product and changing it more frequently. Some skin types may react to certain flanges.
4. For stomas located low or at the belt line, consider using protection belts like Ostomy Armor or Stomaplex to prevent rubbing from clothing and seat belts.
5. Consider using convexity and moldable seals:
- A deep convex one-piece pouch by Marlen.
- A 4" Adapt Barrier Ring from Hollister, trimmed to about 3½", placed against the skin under the pouch.
- Some people use an Eakin Seal with Cavilon for added security.
6. Natural soothing or alternative barriers include:
- Fresh Aloe leaf gel, which can be found in Hispanic grocery stores. Apply it to the skin, let it dry, and then apply the appliance. Be careful of the sharp edges of the leaf.
- Egg white can be dabbed on raw skin when the appliance is off, acting as a natural healer.
7. For beet-red, weepy, or fungal skin, consider antifungal and medicated powders:
- Nystop 100,000 U/gm powder, which requires a prescription.
- A prescription antifungal starting with "F," possibly Fluconazole, for a 10-day course.
8. Household remedies for excoriated skin include:
- Thick Maalox, letting the liquid part drain off, then dabbing the coating with cotton. It dries quickly and helps the wafer stick.
- Caladryl lotion, which contains calamine and Benadryl, can help with itching. Ensure it dries completely before placing the wafer.
9. Some users have had good long-term results with Cavilon from the start of their ileostomy, applying it only when the skin is irritated.
10. Cavilon may cause temporary itching when applied. If the itching is persistent and uncontrollable, it might indicate an incompatibility, and you may need to try a different product.
11. If your quality of life is severely affected, consider seeking a second surgical opinion. Relocation of the stoma has successfully resolved issues for some individuals.
12. For securing the bag to prevent leaks and aid healing:
- Use cut bag extenders with a Cavilon stick on both the skin and the extender. Finish with two tape-type extensions at the top and bottom for a leak-free fit.
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