This topic is about dealing with a yeast infection caused by acidic, watery output from an ostomy, which has damaged the ostomy appliance. The person experiencing this issue has been diagnosed with a severe yeast infection around their stoma and is following a specific treatment routine. Here’s a breakdown of the steps and advice shared:

1. Carefully remove the ostomy appliance.
2. Use a washcloth soaked in high-pH water to gently pat the skin around the stoma.
3. Apply Flonase (fluticasone propionate) to the area and allow it to air-dry for 10 minutes.
4. Apply “Major Clotrimazole” antifungal cream and let it dry for another 10 minutes.
5. Re-apply the ostomy appliance as gently as possible, smoothing down the wafer.

The person suspects that eating mayonnaise may have triggered the issue, but acknowledges that triggers can vary for different people.

Additional insights include:

- The infection is getting better, but the skin remains very painful.
- The individual has had their stoma relocated once and rebuilt twice, indicating ongoing challenges.
- They are working on a book about living with an ostomy, highlighting their journey and experiences.

Advice and helpful insights:

- Stick to the doctor’s prescribed routine. If there’s no improvement, consult the doctor again for further advice.
- Consider consulting a wound-ostomy nurse if the infection persists or if it’s difficult to keep the area dry for treatment.
- Yeast infections are common among ostomy patients, and community forums can be a great resource for sharing experiences and coping strategies.
- Emotional support is crucial. Many people underestimate the pain around the stoma, so connecting with others who understand can help manage stress.