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May 21, 2015

Dealing with Skin Irritation from Ileostomy Pouches

This topic is about finding more breathable ileostomy pouches to help prevent sores around the stoma. The person sharing their experience has sensitive skin and has been dealing with small sores while using a shallow-convex one-piece ileostomy pouch. They are concerned about their skin's long-term health and are looking for a pouch that allows the skin to breathe better. Here are some helpful tips and insights shared by others:

1. If you suspect a fungal or yeast rash:
- Dust the irritated area with baby powder, cornstarch, or an antifungal powder like Z Absorb to help reduce moisture and fight fungal growth.

2. For treating active irritation between full appliance changes:
- Gently lift the edge of the wafer, clean the sore area with witch hazel, let it dry, and then apply a light coating of baby powder or stoma hesive powder before resealing.

3. Tips for showering and bathing to keep the pouch dry and reduce moisture-related rashes:
- In baths, roll up the pouch and tape it so only the wafer is exposed to water.
- In showers, cover the pouch with a sandwich bag "raincoat" taped around the edges; any small amount of water that gets in will evaporate quickly.
- Limit exposure to hot water, which can loosen wafers; opt for shorter, cooler showers when not planning a full change.

4. Skin-cleaning routine under the wafer:
- Avoid using soap; rinse first with warm, then cold water, pat dry, and apply a skin-prep barrier followed by a light dusting of stoma hesive powder before attaching the wafer.

5. Tape and adhesive options for sensitive skin:
- If allergic to standard tapes, try "Scanpore," a breathable paper tape that can act as a second skin and withstands at least two showers.

Some products mentioned include Sudocrem (a barrier/soothing cream), "XAF33" cream (a trial product), witch hazel (an astringent), baby powder or cornstarch, Z Absorb powder (an antifungal), stoma hesive powder, and Scanpore paper tape.
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