This topic is about finding relief for itching and irritation that can occur under an ostomy barrier. If you're experiencing redness and itching after changing your pouch, here are some helpful tips and insights that might make things more comfortable for you:
1. Barrier and Skin-Protectant Films:
- Consider using 3M Cavilon No-Sting Barrier Film, which creates a protective layer without affecting adhesion.
- Smith & Nephew Skin-Prep and Safe n Simple wipes are also recommended.
- Coloplast Prep Skin Protector Roll-on is praised for its quick drying and strong adhesion.
- Some users found relief with Welland's Platinum with Vitamin E pouch and flange extension strips.
2. Crusting Technique for Sore Skin:
- Clean the area with water and dry thoroughly.
- Apply stoma powder to red areas and brush off the excess.
- Dab an alcohol-free skin protectant over the powder and let it dry.
- Repeat up to three layers before applying the wafer. This technique helps wafers stick better.
3. Calamine Lotion:
- Some find relief by applying a thin layer of calamine lotion and letting it dry completely. However, others avoid lotions as they can loosen the seal.
4. Antifungal and Medicated Powders & Creams:
- Lotrimin (clotrimazole) powder or Nystatin powder can help with fungal itching.
- Topicort gel and TETRIX cream can clear severe skin issues but should be wiped off before applying the appliance.
5. Barrier Rings & Paste:
- Eakin Cohesive Seals or Hollister barrier rings can be shaped to protect the skin and improve wear-time.
- Adapt Paste can be used where rings are not effective.
6. Pouch and Brand Changes:
- Different brands work for different people. Some find Hollister suitable, while others prefer Welland or Coloplast products.
- Many companies offer free samples to try out.
7. General Skin-Care Tips:
- Use only water around the stoma and allow the skin to air out for more than 10 minutes if possible.
- Ensure the appliance and pouch are completely dry after showers to prevent fungal rashes.
- Change the pouch sooner if itching starts to prevent leaks.
- Reserve hot baths for change days or use cooler water to avoid softening the adhesive.
8. Measuring & Fitting:
- Cut the wafer to match the stoma’s size, leaving only 1–2 mm of skin exposed.
- Re-measure periodically as stomas can change size.
9. Additional Strategies:
- Irrigation for colostomies can allow for longer air-time and fewer bag changes.
- Use a hair-dryer to warm wafers for better adhesion and ensure the skin is completely dry.
- Consult a dermatologist if redness persists despite changes in barriers.
These tips aim to help manage and prevent irritation, making your experience more comfortable.
