This topic is about dealing with a skin yeast infection that can occur at the adhesive border of an ostomy appliance. The person experiencing this issue noticed an itchy, red rash around the outer edge of their ostomy wafer, while the center area remained unaffected. Initially thought to be an adhesive allergy, a doctor diagnosed it as a yeast infection. The individual is on medications that suppress the immune system, which might contribute to the problem. They are seeking advice on why this happened, how to prevent it from coming back, and if diet might be a factor. Here are some helpful tips and insights shared by others:

1. Cleaning and Soothing Solutions
- Rinse the affected skin with a mixture of water and baking soda. Many have found that this helps the rash disappear within days.
- Use diluted apple cider vinegar as a compress (10 minutes on, 10 minutes off for an hour each night over three days) or as a quick wipe during changes. Vinegar is known to be effective against yeast.
- Tucks pads, which contain witch hazel, can be used for gentle cleansing and to relieve burning sensations.

2. Antifungal Treatments
- Over-the-counter Lotrimin cream and prescription Mycostatin powder have been effective in clearing up peristomal yeast infections quickly.
- Continue using the antifungal powder and pills prescribed by your doctor as directed.

3. Skin-Protective Barriers and Products
- Geritrex Benzoin Compound Tincture can help relieve burning and itching.
- Brava Protective Film from Coloplast can be placed under a Hollister wafer to prevent the fabric from touching the skin.

4. Adhesive and Tape Modifications
- Some people develop a late-onset allergy to the tape ring. If this happens, try trimming the tape off the wafer entirely.
- Make sure to rinse away all soap and adhesive-remover residue and ensure the skin is completely dry before applying a new appliance.

5. Appliance and Brand Rotation
- Alternating between Hollister and Coloplast pouches with each change can help prevent recurring rashes. Some have found the Hollister fabric to be a personal trigger.

6. Environmental and Lifestyle Factors
- Hot and humid weather can make yeast infections more likely. Keep the area as dry as possible between changes by using a tissue or paper towel spacer or allowing air exposure with a stoma cap when at home.

7. Recurrence Prevention Pointers
- Focus on keeping the area meticulously dry, limiting moisture build-up, rotating products if you suspect adhesive sensitivity, and treating early with antifungal powder at the first sign of redness.
- Diet was not considered a likely cause by those who responded; the focus remained on managing moisture, heat, and adhesive interactions.