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Sep 10, 2016

Seeking Advice for Treating Raw Skin Around Stoma

This topic is about finding ways to heal raw peristomal skin and extend the wear time of ostomy wafers. The person experiencing this issue has been dealing with skin irritation due to frequent leaks and changes of the wafer. They are seeking advice on effective treatments to help the skin heal.

Here are some helpful tips and insights:

1. Crusting Technique for Fast Healing
- Follow this sequence: apply a skin barrier wipe, lightly dust with stoma or ostomy powder, re-wipe to seal, and repeat once more before applying the wafer.
- This method is known to clear irritation quickly, sometimes within a day.
- It works well with Stomahesive Powder, Adapt Stoma Powder, and Karaya Powder.

2. Switch to a Convex, Moldable, Well-Fitting Wafer
- Consider using Convex Sensura Mio or ConvaTec moldable convex wafers, which have helped many users stop leaks.
- Ensuring a proper fit, whether flat or convex, can prevent output from getting under the seal and irritating the skin.

3. Skin Barrier / Prep Products
- Smith & Nephew Skin Prep, available in original and non-sting versions, can toughen the skin and aid healing under the wafer.
- Generic skin barrier wipes can be used on healthy skin between changes.

4. Gentle Removal to Prevent Further Trauma
- Use Unisolve adhesive remover to gently lift wafers without damaging the skin, and be sure to wash off any oily residue before applying a new appliance.

5. Cleaning Routine That Aids Adhesion
- Avoid using soap, shampoo, and conditioner on peristomal skin, as residues can weaken adhesion.
- Rinse with warm water to open pores, finish with cold water to close them, and then pat dry.
- Some people clean with witch hazel before using a barrier wipe.

6. Additional Healing Aids
- For spots that look infected, mix Neosporin with Stomahesive powder.
- Anacept gel, available by prescription, can speed up the healing of severe sores (check with your insurance for coverage).
- Other soothing options reported by users include milk of magnesia (let it dry) and calamine lotion.

7. Wear-Time Tips
- Limit exposure to heat, such as frequent hot baths or hot-tub use, as it can soften ConvaTec wafers.
- Once the fit and skin care are optimized, many people achieve 5–7 days of wear, even through showers and swimming.
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