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Healing the Skin around the Stoma - OSTOMY TIPS (w/ Video)  

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Tom
 Tom
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April 1, 2018 5:59 pm  

I haven't tried that yet no, i have heard of it though! It sounds crazy. I will be giving it a try next time i change for sure, though. If it helps me to be able to change my bag standing up it will be a godsend!


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kenf11
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April 5, 2018 10:49 am  

I have found SCIsupply is very good also.


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Jimmy
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April 14, 2018 1:29 am  

I have had a stoma since 09 Sept 2014 as a result of my own stupidity by not taking action when I first noticed the signs of cancer as in blood in the toilet. In the last 8 months I have been having a red weeping sore around the wound. I have been using Convatec 22771 with an Eakin Cohesive ring after spraying the area with Convatec sting free skin barrier. The pain on the skin became more than I wanted to deal with so after I cleaned up I took plastic wrap and cut it to about 4 inches wide, put it over the wound leaving a ballooned area and taped it to the skin after spraying with sting free. The plastic wrap fills up once or twice a day but I change it and clean up each time but I am able to get out and do things in public without odor. After 4 days the skin issues have been resolved and I can once again use a bag.

I am going to try some of the possible solutions that I have read here and will make a follow up comment if this helps my situation.


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VeganOstomy
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April 14, 2018 7:51 pm  

Wow, Jimmy! I'm glad you're skin is back to normal, but I hope you can find a better solution to prevent that from happening again.

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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Lori
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May 13, 2018 11:16 pm  

Hello Jimmy, I actually use tissue paper folded up and use press and seal (just next to plastic wrap in strores) over it so you avoid using tape on your skin . The press and seal sticks on your skin and tissue paper absorbs any fluid . When changing just wrap up everything in the press and seal and dis guard. Good luck.


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Bubbles
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May 14, 2018 6:32 pm  

Try Safe n Simple Barrier sheets to heal skin . Place directly onto skin then your wafer on top. 


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Dana
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May 14, 2018 11:47 pm  

Hello my husband has a colostomy and is taking chemo. His skin around the stigma is beat red and really moist. This doesn't happen often. But right now it is really bad. A pouch will not stay on because its so wet. What can I do to help him with this.


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VeganOstomy
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May 15, 2018 2:39 pm  

Hi Dana,

Anything more than minor irritation should be investigated by a stoma nurse. Poor adhesion to the skin will only compound the problem, and a stoma nurse will be able to best plan a course of action. 

Best of luck to your husband!

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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Chris
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May 20, 2018 7:33 pm  

I just purchased the marathon skin protectant and was wondering if it stings when you apply it. My skin is blistered around the stoma and very painful. I have been using stoma powder without much success. I am hoping the skin protectant is much better!


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VeganOstomy
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May 20, 2018 11:18 pm  

Hey Chris,

Marathon shouldn't be applied to broken skin, so I'm not surprised that it hurts. Blistered skin should be investigated. If it's just caused by regular exposure to your output, it can heal quickly once you fit your appliance properly.

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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Chris
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May 21, 2018 11:07 am  

Thanks for your advice! I adjusted the appliance today and used a lot of stoma powder! Hopefully I’ll be on the mend soon!


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Robert
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May 21, 2018 12:11 pm  

Hi Chris looks like I'm a day late . I have used the marathon before and it worked well for me but I did not have blisters I did have a bad irritation though . So like Eric said I would be cautious about putting anything on open blisters .

Subtotal colectomy and Proctectomy , Ileostomy , Ulcerative Colitis


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Chris
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May 21, 2018 12:33 pm  

Thanks for your advice! I adjusted the appliance today and used a lot of stoma powder! It doesn’t hurt quite as much so I am hoping it will start to heal!


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bob
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July 4, 2018 12:37 pm  

Could try using cortisone CREAM but use it without aloe- as aloe is slippery- when changing the pouch- set aSIDE some time to apply cream to affected skin- allow to absorb into skin for 5-10 minutes or so (have toilet paper or paper towel ready to prevent ostomy output from flowing out all over the place while pouch is off)- wipe off as much as you can- apply karaya powder to weeping skin- then barrier spray or hollister medical adhesive over the karaya- it will take a few changes to start to see improvement- but the cortison should help heal things up nicely. I used to use Karaya pouches for nearly 30 years=- they were absolutely fantastic for nice healthy skin- never had any issues with weeping broken skin- but they stopped making them so i had to switch to hydrocolloid pouches from hollister and now have bad skin all the time because seal will not adhere to my skin tightly aroudn hte edges near the stoma- always battling skin irritation and can only wear pouches 1 day- Tried Ekins- no help- messy to change- etc- and liquid woudl work it's way under the eakins just as bad as the regular seal. Wish htey'd brign back the Karay pouches- (Yes, they were hard to change- scraping off the stuck on Karaya was a pain, but coudl wear pouches 2 days and skin was always in great shape)


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bob
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July 4, 2018 12:40 pm  

if you wanted to try cortison with aloe (as Aloe can be very healing as well as the cortison)- you could leave it on for 5-10 minutes, then clean it off really really well- probably with somethign like alcohol to make sure all the oils fro mthe aloe are gone before applying ostomy pouch


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Deana Riggs
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September 3, 2018 9:31 am  

Hi,

This is exactly what my stoma looks like and it hurts. I have tried both methods and neither has worked. How is this working for you?


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VeganOstomy
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September 4, 2018 10:08 am  

Hi Deana, I haven't needed to use anything for quite a while, but the barrier ring method always works for me - skin will heal in a matter of days if given the right conditions.

Have you been able to see a stoma nurse? Ongoing issues will lead to new problems, so it's best to take care of that sooner rather than later. Good luck!

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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John Small
 John Small
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September 29, 2018 5:27 pm  

My peristomal skin is always a bit moist. I have a strange purple condition just under the top layers of skin that neither stoma nurses nor surgeons can quite identify or help with. It's probably not as moist as your husband's, but I have found that, in my case, Convatec 2-piece systems have built-in adhesive properties in the barrier ring/wafer/baseplate that work much better than Coloplast adhesives. Hollister products perform somewhere in the middle. So I get almost double the wear time and much better skin protection.


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John
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September 29, 2018 5:41 pm  

Hi Rich. I sometimes have several small points around the outside of my stoma that bleed, just as you describe, and blood is obvious in the bag when I empty it. My surgeon looked at it and pointed it out to me and told me to use silver nitrate sticks to chemically burn/cauterize those points. The areas where I touch the stick to turn gray and the bleeding stops. Those spots will heal. I discard the used stick carefully by wrapping the tip in a tissue before putting the stick in the garbage. Be sure kids or pets don't get into that garbage and be sure to lock up the silver nitrate sticks. They are sort of dangerous for kids/pets. Every time I change the bag I look to see if more spots have sprung up on my stoma. I bought a tube full of 50 silver nitrate sticks from Shoppers Home Health Care for maybe $50 or something.


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john68
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September 30, 2018 3:49 am  

Hi, The small points you describe sound very like granulomas. They can be quite sore depending where they are around the stoma. They can be treated by applying Orabase Paste or the silver nitrate as you describe. The silver nitrate must be used very carefully and could cause major damage to the stoma or the rest of the skin. The stoma nurse advised me to use a barrier ring on top of them as they can be weepy and cause problems under the wafer. I only use a small part as I don't need the full ring! Again silver nitrate will burn!! and the sticks activate when wet.

ileostomy 31st August 1994 for Crohns


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