This topic is about managing red, sore skin around a new ileostomy. The person has a stoma that is slightly larger than before, and the skin around it is red, sore, and burning, with small bumps that seem to be dissolving stitches rather than an infection. They are seeking advice on how to care for the skin and manage the irritation.

Here are some helpful tips and insights:

1. Sizing and Fitting
- Do not cut the wafer opening smaller than the stoma; a tight fit can cause discomfort and increase the risk of leaks.
- Measure the stoma and cut the wafer slightly larger so that it fits snugly without pressing on the stoma.
- Some people find it helpful to roll the edge of the wafer inward to create a snug fit around the stoma.
- Use a barrier ring with a hole slightly smaller than the wafer's to protect the skin while fitting closely to the stoma.

2. Protecting and Healing Irritated Skin
- Use stoma powder on the red area, blow off the excess, and seal it with a skin-prep wipe or spray. You can repeat this up to three times.
- Make sure the area is completely dry before applying the wafer. A hair dryer on a cool setting can help.
- Allow the skin to air-dry by keeping the pouch off for short periods, using a dish to catch any output.
- Consider using Marathon Skin Protectant for severe skin issues or antifungal powder if a yeast infection is suspected.

3. Avoiding Additional Irritation
- Clean the area quickly and thoroughly during changes, as ileostomy output can irritate the skin.
- Keep your hands and supplies clean to avoid infection.
- If possible, shower during a change with lukewarm water and mild, unscented soap, then rinse and dry well.
- Avoid soaking in a bathtub, as standing water can introduce bacteria.

4. Possible Allergy or Product Issues
- If redness worsens, consider an allergy to the products being used and try different brands.
- Some people have had reactions to specific barrier rings, so switching products might help.

5. Educational Resources
- The Vegan Ostomy website and Facebook page offer detailed videos on stoma care techniques.

6. Miscellaneous Tips
- Apply paste around the stoma base after cutting the wafer, not directly on irritated skin.
- Work stoma powder into a slight paste with your fingertip before placing the wafer.
- Change only one product or technique at a time to see what works best.

These tips and insights can help manage and soothe the skin around a new ileostomy, making the experience more comfortable.