hi joe I found this question on one of the old post from 2009 from our awsome ostomy nurses. We sometimes forget that we have them right at our finger tips!! she said and I copy and paste it because its stuch a good answer!
First step is to figure out why your skin is getting irritated. Usual things: opening cut too large, or leakage/gap from the appliance to your skin. Somehow stool (I am assuming) is getting on to your skin or under your appliance......OR, you may have a fungal infection. Usually if fungal, the itching is there too, but they sure can sting and be red also.
If fungal, an antifungal powder (just ask your pharmacist for an over the counter brand) rubbed into the area, then dusted off and seal with a Sting Free type of sealant (Cavilon, No Sting Skin Prep, Reliamed Sting Free, etc) before doing your usual pouching. I'd change it about every 3 days so you can keep treating your skin.
If from leakage: I'd re-measure your stoma to make sure the stoma opening fit is correct.
You can also check when you sit if you have skin creases or folds. If so, you may consider convexity or fillers into the creases (Eakins or Coloplaste strips, etc) and a barrier ring (Eakins, Adapt) around the stoma. Belt might help too.
It is hard to get adhesion to denuded and moist skin. You may have to change it every couple of days until skin healed if it is very moist.
It is possible also to develop a contact dermatitis to the appliance....it is usually pretty obvious as the skin will be red in the same shape of the offending part of the appliance that comes in contact with your skin. If this is the case, you will need to switch to another brand.
Sorry about the essay...just trying to cover all bases. If you have an ostomy nurse or can call her and describe, that might be the best way to get your skin back in shape.
Best of luck.
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* Certified Wound and Ostomy Care Nurse
* Registered Nurse
* Bachelor of Science in Nursing