This topic is about dealing with inflamed skin under a stoma and finding creams or products that can soothe the skin without affecting the adhesion of the wafer. The person experiencing this issue has tried using stoma powder but hasn't found relief and is concerned that creams might prevent the wafer from sticking properly. They are seeking advice on specific products that can help.

Here are some helpful insights and advice:

1. Current Routine and Concerns
- The person currently removes the wafer with an adhesive-removal wipe, lets the skin dry, sprinkles powder, and then adds paste before applying a new wafer.
- The irritation always occurs in the same spot, leading them to doubt micro-leakage but they are open to suggestions.
- They are unsure about the order of applying powder and paste and whether warming the paste or wafer would help.

2. Cleaning and Soothing the Skin
- Rinse the area with a mild baking soda and water solution to soothe burning caused by certain foods.
- Use calamine lotion on raw spots with a cotton swab, let it dry completely, then apply the wafer. Consider changing the wafer a day earlier than usual to prevent skin erosion.

3. Preventing and Treating Micro-Leakage Irritation
- Make sure all adhesive is removed with Unisolve wipes and thoroughly wipe off any residue before applying new products.
- Apply a no-sting skin prep, let it dry, dust with karaya powder, work it into a paste, then place the warmed wafer.
- Warm Durahesive or Stomahesive wafers with a hair dryer for about a minute to improve conformity and seal.

4. High-Performance Skin Protectants
- Marathon No Sting Cyanoacrylate Skin Protectant is recommended for flush stomas. It forms a durable barrier without affecting adhesion. You can ask suppliers for samples.
- Geritrex Benzoin Compound Tincture is a topical skin protectant available through Walgreens without a prescription. Apply one coat with a Q-tip, dry with a blow-dryer, add a second coat. It remains tacky, reduces burn and itch, and enhances wafer adhesion. It costs around $7.

5. Application Order Clarification
- A typical sequence is: clean the area, remove adhesive, rinse and dry, apply skin prep, optionally use karaya powder worked to a paste consistency, warm the wafer, and apply with gentle pressure to set the seal. Powder should be applied first (dry), followed by paste or wafer. Do not sprinkle powder on top of wet paste.