This topic is about dealing with skin irritation and leaks around a stoma, especially for someone who is preparing for a J-pouch reversal surgery. The person in question has been experiencing persistent redness and soreness around the stoma, possibly due to an allergy to certain products. Despite trying different solutions, the problem persists, and they are seeking advice on how to prevent leaks and heal the skin.

Here are some suggestions and insights that might help:

1. Consider using a Dermacol Stoma Collar from Salts Healthcare. This is a soft, rubberized collar that attaches to a ring and directs output straight into the pouch, which can help protect the skin around the stoma. These collars come in various sizes, and you can contact Salts for free samples.

2. Instead of using rings and paste, try barrier strips. You can cut these strips to the desired length and form a custom-sized circle that fits snugly around the stoma. Many people have found that using barrier strips along with a no-sting skin barrier spray or wipe, and a light dusting of stoma powder, can eliminate leaks and soothe sore skin.

3. Some individuals find that stopping the use of rings altogether can reduce both leakage and skin irritation. It might be worth experimenting with a ring-free setup, but make sure to do this under the guidance of a stoma nurse.