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Jul 21, 2016

Dealing with Painful Output - Seeking Advice on Colostomy Care

This topic is about managing the challenges of having a colostomy, particularly when the output becomes hard and causes discomfort or skin issues around the stoma. Here are some helpful tips and insights shared by others who have faced similar situations:

1. **Hydration & Diet**
- Even if your water intake is generally good, try increasing it further. Also, review your diet to ensure it helps keep your stool consistently soft.

2. **Wafer Opening & Fit**
- If you use cut-to-fit wafers, consider gradually enlarging the opening to prevent tightness around the stoma. Make sure there are no jagged edges that could irritate the skin.
- You might want to try a moldable, no-cut-center barrier. These can cushion the stoma and adjust to its size, potentially offering more comfort.

3. **Skin Protection**
- Before applying the wafer, use a peristomal skin-protectant spray or wipe. Applying two coats might be beneficial.
- Some people find that adding a moisturizing product, in addition to a barrier film, helps keep the skin flexible and reduces the risk of tearing.

4. **Irrigation**
- Consider daily colostomy irrigation at the same time each day. This can help flush out any initial hard pieces with water, leading to a more liquid output and reducing painful passages. It also allows for more freedom from pouches during the day.

5. **Professional Help**
- If these issues continue, it might be a good idea to consult a WOC (wound-ostomy-continence) nurse or another stoma professional. They can provide a personalized assessment and help with appliance fitting.
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