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Feb 06, 2014

Seeking Advice for Eroded and Blistered Skin as New Colostomy Patient

This topic is about managing raw and blistered skin around the stoma, which can occur a few weeks after colostomy surgery. The person experiencing this issue is dealing with red, raw, and blistered skin beneath the flange, and is seeking advice on how to care for it effectively. Here are some helpful insights and advice for managing this condition:

1. Ensure that the output from the stoma is not compromising the seal of the appliance. Keep the skin around the stoma meticulously clean and dry before applying the wafer.

2. Use a skin barrier preparation, such as a spray, to create a breathable, protective film over the skin. This allows oxygen to reach the skin while blocking moisture, which can help in healing.

3. Try the "crusting" technique to protect irritated skin:
- Lightly dust the affected area with ostomy powder.
- Pat or spray with a skin barrier prep to dampen the powder.
- Allow it to dry until a hazy crust forms.
- Repeat this process once or twice, then apply the wafer. This technique helps absorb moisture and reduce redness.

4. Consider using alternative topical soothers. For example, dabbing Mylanta (an antacid) on the skin, letting it dry, and then layering it with normal skin prep before applying the flange can help calm red, weepy skin.

5. Review your diet during the early recovery period. Eating several smaller meals, reducing or eliminating fiber temporarily, and tracking foods that may increase output liquidity or cause skin irritation can be beneficial.

6. Ensure the pouch fits correctly. If leaks persist, consider using convexity or trying different rings or pastes. Finding the right combination often requires some trial and error.

7. Maintain an adequate supply of adhesive-remover wipes and sample various manufacturers’ accessories until your permanent order is established.

8. Be patient. Skin in the immediate post-operative period is fragile, but with a consistent routine and the right products, most irritation tends to settle within a few weeks.
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