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Posted: Mon Jun 10, 2019 8:27 am

Hi everyone,  I just have a question relating to skin irritation & rashes around the stoma.  I have been suffering with really bad skin the last 2 months and its now gotten to a point where my ostomy bag isn't adhereing to my skin.  I use Hollister Moderma bags & its where the plaster part of the bag goes is where my skin is very irritated.  Its raw & weeping a lot through the plaster part.  I have tired the Cavilion spray but that hasn't worked.  If anybody has an advice it would be greatly appreciated.....Thank you,  Jane x

Posted: Mon Jun 10, 2019 9:25 am

Hi Jane X,

  Been where you are, not fun.  Sounds like you're skin's having an allergic reaction to part of your barrier.  Not sure what you mean when you say the "plaster part", but am guessing you mean the part that touches the stoma and not the adhesive bandage part.  Regardless, you have a few options.  I had the same problem as you describe and it was caused by slow leakage right where the barrier touches the stoma.  I tried the Hollister sealer that comes in a squeeze tube, but that didn't last.  Hollister recommended I try their moldable barrier ring and that did the trick.  I stretch it and roll it with my fingers to make a thick washer that fits tightly around my stoma and then put the barrier on.  Hollister also makes a product called HolliHesive (#7700) which is basically a flat piece of skin barrier.  It goes between your barrier (or wafer) and your skin to keep them from touching.  Not sure what the HolliHesive is made of, and although I have a few boxes of them I've never used it myself, but that's what it's made for.  If you contact Hollister you can send them pics of your problem and they'll take a look and recommend other products.  You probably know all this already, just writing it for anyone else who doesn't know this.  There's also a similar product available wherever they sell sports tape. Does the same thing, goes between your skin and the sports tape so when you pull the tape off your skin doesn't come with it.  Don't remember the name, but I'll look in my ostomy supply junk box and see if I can find it.  I remember folks telling me to use lots of stoma powder and wipes to keep the skin dry, but when the skin weeps continually that doesn't work. 

 What you really need to do is find out why your skin is reacting this way.  Suggest you find a good dermatologist or ostomy nurse, which you also probably are doing or have done.  Now if your skin is too far gone to put anything on it at all a company called Nu Hope makes a special barrier (wafer) that's essentially an O-ring without any of the adhesive bandage that surrounds your current barrier.  It's held onto your stoma with a belt, and since it's not glued to your body like your current barrier you can't be doing gymnastics or anything crazy while wearing it, or it will leak. But if you just lay low for a few days and give your skin some time to heal this product may be a Godsend.  By using this O-ring barrier the skin around the O-ring is exposed to the air and can heal, and you can apply topicals to the skin that would not allow your regular barrier to stay stuck.  I don't remember if they have to custom make these for your specific stoma shape/size or not, but you might want to contact them.  They can overnight you something to help you out. 

 Back to the ostomy nurse thing.  I've found that ostomy nurses are wonderful people. I've made friend of a number of them at the large University Hospitals in my area and I can send them pics of any issue I'm having and they're respond quickly with any advice they have.  My local hospital's ostomy doc and wound care folks were pretty useless, but the bigger hospitals usually have someone who's seen it all when it comes to ostomy issues.  So don't hesitate to reach out to them, even if they're not close.  I find most people will go out of their way to help folks like us if we just give them a chance. 

 Please post here and let me know how you're doing.  I'm not a paying member so I'm not sure what types of messaging I can and can't receive/send on here.  But I can access this forum.  Hopefully others will chime in as well.  Hang in there, we'll get you thru this. 

 

regards,

bob

 

Posted: Mon Jun 10, 2019 9:41 am

Thanks so much bob but the skin around my stoma is fine its exactly where the adhesive bandage goes is where my skin is having the trouble.

Posted: Mon Jun 10, 2019 10:32 am
Hi Jane I had revision surgery last year and they used Hollister products with the tape type of wafer, and I use convatec solid wafer not tape style and the ten days I was in hosp. my skin got so red and sore I couldn't wait to go home and get back to using my usual products.
Posted: Mon Jun 10, 2019 10:39 am

Try using protective barrier wipes before applying barrier.  This protects your skin from peeling and irritation.  Also use non moisterizing soaps (like ivory) to clean your stoma & area.

Posted: Mon Jun 10, 2019 10:58 am
MissJaneCaslin wrote:

Thanks so much bob but the skin around my stoma is fine its exactly where the adhesive bandage goes is where my skin is having the trouble.


Hi Jane,

  Ok, got it.  I have the same (but not as severe) issue from time to time.  You've got Contact Dermititis, which is what Dermatologists call anything they can't explain or fix.  The fastest way to get it under control is to call your doc and get a prescription for Betamethasone foam.  It's a strong topical steroid for skin issues and it works fast and well.  I paid something like $90 for an aerosol can of it last year, but it's worth it because it works.  You shake it, turn it upside down and press the nozzle.  It comes out as a foam, like shaving cream.  Just a dab will do ya, and the can will last for a long time.  A few doses of Beta will get your sking back to normal, but won't prevent whatever is irritating your skin from continuing to do so.  What I've found works for me is swimming in the pool (because the chlorine in the water seems to reduce the skin irritation), and Flonase spray.  Flonase is for allergies and your skin is allergic to something in the bandage portion of your barrier.  Not sure how often you change your barrier, but when my skin got like yours I changed it every morning (after swimming) to make sure the Beta continued to work on my skin, and did this until it got cleared up.  I'm still searching for a cure for my skin allergy, but I use the Flonase each time I change my barrier and the Beta if things get bad........and it's very liveable.  Still haven't found a good Dermatologist who knows anything about this skin issue.  Hope this helps.

regards,

bob

Posted: Mon Jun 10, 2019 11:23 am

You can also try a product called Marathon. They come in small tubes and it dries really fast and leaves kind of a hard shell on top of your skin and gives your skin time to heal. I use it all the time but it’s not cheap. My extended medical covers mine but it’s been a lifesaver for me and any skin issues. Good luck 

Posted: Mon Jun 10, 2019 4:19 pm

Try warming the karaya seal with a hair dryer (less than a minute on high) before applying. Also, as others suggest, clean off old adhesive with uni-solve and apply skin prep before placing the wafer on.

Xerxes

Posted: Mon Jun 10, 2019 6:34 pm

Uro,

  Thanks for the tip about Marathon.........I never saw that before, but I looked it up and I'm going to try some of that.  Looks to be around $50 for 10 tubes from my quick search, but as you said it can be used on good or damaged skin.  Sounds pretty impressive.

  Xeres, sounds like her skin may be weeping too much (if her bandage won't stick) for skin prep to handle.......although it's worth giving it a shot.  Skin preps come in all kinds of varieties, so you may have to experiement a bit to see which ones your skin likes.  I prefer those that sting....but I like pain. 

 Jane......let us know how you make out. 

 

regards,

bob

 

Posted: Tue Jun 11, 2019 1:52 am

Right after I came home from my operation, I got an awful bleeding rash on my skin, right where the wafer was sticking to my skin. The nurse tried the ring, the powder and something else, but my skin still raw. So I took everything off for 24 hours and applied Desitin extra strength on the rash. Of course I barely slept, I just taped a small garbage bag around in case I fell asleep and something came out. But it was the only thing that actually cured my skin within 24 hours. After that, everything was fine and never had that problem again. Now if I get a bit of a rash, I keep off the wafer for few hours and apply desitin and I get back to my healthy skin right away. 

Posted: Tue Jun 11, 2019 6:27 am

I'd get in touch with Hollister, and request some sample wafers without a tape border.  I absolutly cannot use the ones with a tape border, they will light my skin up within a few hours.

Posted: Tue Jun 11, 2019 9:22 am
Sasquatch wrote:

I'd get in touch with Hollister, and request some sample wafers without a tape border.  I absolutly cannot use the ones with a tape border, they will light my skin up within a few hours.


Sasquatch,

   I've seen those barriers without the tape border, but can't imagine it would stay attached to me for long.........I'm too active.  How do you keep yours attached?  Don't mean to hijack the post, but can't message.

  thanks,

bob

Posted: Tue Jun 11, 2019 11:04 am

Try some different bags. You are obviously reacting to the glue or adhesive in the bag you are using. It happens it’s happened to me. At least if you try a few different new bags I would suggest a different company as well.   Or maybe you’re reacting to the Cavillon spray. It could be anything. So the key is to start changing things one by one to see what it is you’re reacting to.  I swear by the stoma POWDER, If you haven’t tried it that may be your answer. Good luck let us know how it goes but definitely try a different bag.

Posted: Tue Jun 11, 2019 11:20 am
w30bob wrote:
Sasquatch wrote:

I'd get in touch with Hollister, and request some sample wafers without a tape border.  I absolutly cannot use the ones with a tape border, they will light my skin up within a few hours.


Sasquatch,

   I've seen those barriers without the tape border, but can't imagine it would stay attached to me for long.........I'm too active.  How do you keep yours attached?  Don't mean to hijack the post, but can't message.

  thanks,

bob

Just use it as usual, the adhesive that is on the inner part of the wafer extends all the way to the edge.  They are the exact same size as the ones with the tape border.  The edges to tend to peel a little sometimes, when it starts, I use some water proof tape, usually gives the wear time a couple more days.

Posted: Tue Jun 11, 2019 12:04 pm

Are you using Skin Prep or any other kind of skin barrier?  I not only use it around the stoma area, but also where the adhesive bandage part touches.  You might want to make sure you get the "non-stinging" variety.  I've seen skin prep used on babies suffering from severe diaper rash.  It puts a protective barrier over the effected skin.  You might want to also consult with your ostomy nurse or dermatologist.

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