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Dec 10, 2018

Tips for Flange Skin & Stoma Care

This topic is about finding ways to let the skin around a colostomy breathe without making a mess. The person asking the question is three months post-surgery and wants to air out the skin for about an hour. They are looking for solutions to prevent stool from dripping when the pouch is off.

Here are some helpful tips and insights:

1. Choose quiet stoma times:
- Many people find that their stoma is less active first thing in the morning before eating or in the evening several hours after their last meal.
- Plan to change the flange or air out the skin during these times. Have tissues or toilet paper ready, and sit on a towel or over the toilet.

2. Short, frequent “breathing” sessions:
- Airing the skin for 10-20 minutes can provide most of the benefits. An hour is possible but can be more challenging to manage.

3. Irrigation for longer pouch-free time:
- Once the stoma is healed, colostomy irrigation can allow for 24-48 hours with little or no output, making it easier to air out the skin.
- Look for resources on "ostomy irrigation" online for guidance.
- Consider using specific equipment like ConvaTec or Coloplast irrigation kits, and ask for free samples before purchasing.

4. Temporary ways to block or catch output:
- A warm or hot bath can often stop stoma activity, though for some, cold water might be more effective.
- Use a clear plastic cup or similar item to cover the stoma while cleaning, which can help catch any output.
- Fold an incontinence pad under a hernia belt or waistband, or tuck a large sanitary pad or plastic bag into underwear to catch leaks.
- Sitting on a towel-covered bed or chair can help, and keep a bowl of warm water, wipes, and a trash bag nearby.
- Eating one or two marshmallows might slow output, but watch for constipation.

5. Shower method:
- Remove the pouch and shower to clean thoroughly. Stand over the toilet or press tissue against the stoma while drying, then dress after 10-30 minutes of airing.

6. General tips:
- Change appliances about every six days, though this can vary for each person.
- Experiment with different temperatures, timing, and products, as each stoma behaves differently. Adjust methods to find what works best for you.
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