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Oct 22, 2017

Seeking advice for persistent stoma irritation

This topic is about dealing with persistent skin irritation and leaks around a new ileostomy. The person experiencing this issue has had their ileostomy for four weeks and is struggling with burning, raw skin that is slow to heal, leading to leaks and constant discomfort. Despite consulting with healthcare professionals, they are seeking additional remedies to help their skin heal and prevent leaks.

Here are some suggestions and insights shared by others who have faced similar challenges:

1. Consider trying Coloplast pouches and wafers, as they have been helpful for people with sensitive skin, reducing burning sensations.

2. Apply liquid Maalox to the irritated skin, let it dry, and then attach the appliance. This can help soothe the acid burn caused by stool.

3. Use Perfect Choice barrier rings close to the stoma to prevent leaks and extend wear time.

4. If a yeast rash is suspected, apply Lotrimin (an antifungal) powder and then use Cavilon barrier wipes or spray to "crust" the area.

5. Clean the area with Head & Shoulders Classic shampoo, then apply Butt Paste diaper-rash cream. This method has helped clear redness quickly for some users.

6. Use Anasept antimicrobial gel around the stoma, wipe it off, then apply a barrier wipe and a SenSura Mio one-piece. Anasept spray can be used for cleaning up leaks.

7. Spread fresh aloe gel from a plant around the stoma and let it dry completely before reapplying the pouch. This has been reported to aid in rapid healing.

8. Allow the skin to "air out" for 10–20 minutes before applying a new pouch. Stand over the toilet or use tissue to catch any output during this time.

9. Rinse the area with homemade colloidal silver, storing it in a dark glass container in a cool place.

10. Use Calamine lotion as the sole barrier product. Shake it well and apply it to the skin, which has worked for some long-term ileostomates.

11. Lightly dust the irritated skin with stoma powder, then seal it with a barrier wipe using the "crusting" technique for quick relief.

12. A basic routine recommended by several members includes cleaning the skin, applying a barrier wipe (letting it dry), using paste or a barrier ring, and then attaching the pouch.

13. Keep the skin taut by gently pulling the stoma upward while a helper applies the ring and pouch to minimize gaps and leaks.

14. Take a shower without the bag to cleanse the area thoroughly, dry well, apply a barrier wipe, and then add the ring and pouch.

15. Change appliances gently, aiming for every 7 days if possible, to reduce mechanical trauma to the skin.
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