This topic is about a person who has had an ileostomy since November 2015 and is experiencing persistent burning and stabbing pain around their stoma, even after switching to a Coloplast light convex pouch. Initially, they had severe leakage pain with a flat, one-piece pouch, but the new pouch stopped the leakage. However, the burning sensation continues, and sharp pains have recently started. They are looking for products or techniques to help manage the burning between appliance changes and are curious if these symptoms are common.

Here are some helpful suggestions and insights:

1. Increase the frequency of appliance changes. Some people find that changing their appliance every 4–5 days can prevent the burning sensation that occurs mid-wear.

2. Re-evaluate the size of the wafer opening and the application technique. Use the Coloplast measuring guide to cut the hole so it fits snugly around the stoma. After positioning, gently push the stoma through the opening to ensure that no skin is exposed to output acids.

3. Treat irritated skin during each change. Use the "wipe-powder-wipe" method: apply a barrier wipe, dust Brava Powder (Coloplast) or a generic stoma powder on raw areas, seal with another wipe, and then attach the pouch. Allow the skin to air-dry before re-bagging to promote healing.

4. Monitor for signs of infection or issues with sutures. Look out for skin that becomes very red, hard, or shows persistent necrotic edges, and seek medical advice promptly. Internal stabbing pain could indicate adhesions or other complications, so consulting a physician or ostomy nurse is recommended.

5. Consider adding protective products between changes. Some users find success by massaging Coloplast Lubricating Deodorant upward inside the pouch to coat the stoma and reduce burning until the next change.

6. Seek medical follow-up if stabbing or deep internal pain persists. It's important to schedule an evaluation to rule out infection, adhesions, or other post-surgical issues.