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sore skin around stoma

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Kris Adams

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Aug 12, 1998, 3:00:00 AM8/12/98
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Hello all,

I am on my second stint with a temp illeostomy -- after a failed j-pouch
try. I am starting to have similar problems that I had the first
time--sore/red/bleeding skin around the stoma. It is only on around 1/4 of
the stoma, but it burns, itches, stings...

I use a 2 piece Hollister system. I also use stomahesive. Right now I am
changing it every 2-3 days. I apply powder on the red part and it seems to
be real dry, but it seems like I am losing ground it. I would be interested
in hearing how others change/fit their appliance or any other suggestions...

My sore stinging skin thanks you (and so do I)

Kris

GERRYD34

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Aug 12, 1998, 3:00:00 AM8/12/98
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Kris Adams
I have been down that road of sore skin and there are two things that are
extremly important when tending a stoma.
#1= Be very GENTLE when cleansing the stoma area. take your time and rinse well
#2= use a protective barrier . I prefer the Allkare Protective barrier wipes.
I do hope you have success in calming down the sore skin .
gerryd34


Yale Jacobson

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Aug 12, 1998, 3:00:00 AM8/12/98
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You might check out an ET nurse if one is available in your area. I, myself
just visited an ET nurse after 3 years. She made some changes in my routine
to correct my soreness.
Kris Adams wrote in message <35d1f...@news.avana.net>...

Mount Rialto

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Aug 12, 1998, 3:00:00 AM8/12/98
to Kris Adams
Hi Kris, it sounds like some of the fecal waste is coming in contact with the
skin
causing the redness, soreness etc... The hole in the faceplate only needs to be
big enough to fit the stoma thru, if the hole is too big then the waste comes in
contact
with the skin. I cut the hole about 1/8 inch bigger than the stoma, then I put a
bead of
stomahesive paste around the base of the stoma and then put on the faceplate.
Then the skin is sealed away from the waste.
When you remove the face plate be gentle, the skin gets soft after having the
appliance
on for a few days. I take off the face plate in the shower, it seems to help
soften
it up. I've had my Ileostomy for 9 1/2 years. The only time I have a probelm
with
irritation is when I cut the hole too large.
I hope this helps
Good luck,
Gary

LorrRobb

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Aug 12, 1998, 3:00:00 AM8/12/98
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Hi There!

Stoma Laboratories makes a product called stoma care, which is probably old
news to a lot of you, but anyway, i apply it directly to the skin
immediately around my stoma, let it dry, which only takes seconds, and then
apply paste and appliance. This product has been great for me, and because
of this i can go 10-14 days with my pouch. Your regular supplier should
have the product.

Hope this helps.

lorrrobb


Kris Adams <kr...@ins.com> wrote in article <35d1f...@news.avana.net>...


> Hello all,
> > I am on my second stint with a temp illeostomy -- after a failed
j-pouch
> try. I am starting to have similar problems that I had the first
> time--sore/red/bleeding skin around the stoma. It is only on around 1/4
of

> the stoma, but it burns, itches, stings... etc.

annie...@hotmail.com

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Aug 13, 1998, 3:00:00 AM8/13/98
to
In article <35d1f...@news.avana.net>,

"Kris Adams" <kr...@ins.com> wrote:
> Hello all,
>
> I am on my second stint with a temp illeostomy -- after a failed j-pouch
> try. I am starting to have similar problems that I had the first
> time--sore/red/bleeding skin around the stoma. It is only on around 1/4 of
> the stoma, but it burns, itches, stings...
>
> I use a 2 piece Hollister system. I also use stomahesive. Right now I am
> changing it every 2-3 days. I apply powder on the red part and it seems to
> be real dry, but it seems like I am losing ground it. I would be interested
> in hearing how others change/fit their appliance or any other suggestions...
>
> My sore stinging skin thanks you (and so do I)
>
> Kris
>
Dear Kris,

I have had this problem too. In fact, last year it was so bad I called in an
ostomy nurse. She gave me an Eakin seal to use under my flange (you use no
paste while you wear the seal). It healed me up beautifully. I experience
more trouble in the summertime due to the heat. I found that a good spray of
Cortaid on the itchy sore skin helps immensely. You sometimes have to check
a few drug stores for the pump spray of Cortaid but it is worth the time.
Also, since you are so "stingy" putting most of the protective barriers on
your skin may burn you. Have you tried the No Sting Skin Barrier? My ostomy
nurse recommended it and I have used it ever since.

Oh, one more thing, are you letting the paste sit on the flange for awhile
before applying? I have had a much better "stick" around my stoma since I
have done this. I also "knead" the tube of paste with my fingers before I
open it and apply it since it contains alcohol and it needs to be mixed in
there really well or you will experience what I call a "meltdown" of the
paste.

Hope this helps!

Sincerely,

Anne B.
>

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Bleyequeen

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Aug 13, 1998, 3:00:00 AM8/13/98
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My husband had a severe problem with sore, blistering, raw skin around his
stoma that took months of treatment with prescription powders from a
Dermatologist to clear up. Since he did not know what he was reacting to,
he was instructed to prevent as many parts of the appliance as possible from
making contact with his skin and to eliminate as many chemical products used in
the process as possibe. For this reason and as an aid to keeping the area
drier, he began using guaze to make a barrier between his skin and the pouch.
He quit using skin barrier and adhesive remover wipes and began cutting the
adhesive part of the appliance down to a minimum and began wearing a belt for
extra security. Since there are plastic pieces on the belt he also placed
guaze between them and his skin. Things were going fine until about a week ago
when he tried using one of those adhesive remover wipes. Right away all h@#$
broke loose! Luckily he was able to get it under control immediately, but no
more adhesive remover wipes for him, and we still don't know whether or not he
is allergic to anything else.

> I am starting to have similar problems that I had the first
>> time--sore/red/bleeding skin around the stoma. It is only on around 1/4
>of

>> the stoma, but it burns, itches, stings... etc.

StanHS

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Aug 13, 1998, 3:00:00 AM8/13/98
to
Some great suggestions in these posts! One old-fashioned product that you
might try is karaya powder. I find if I moisten area slightly and tap powder
on, let dry thoroughly, and maybe even repeat once, the karaya can help clear
skin. As with all new products, test them on some other part of your body for
a few days before sticking them on sensitive skin around stoma! Good luck.
Stan (I).

P.S. I generally like powders better than pastes because there's no alchohol
in them to burn sensitive skin.

Barb...@my-dejanews.com

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Aug 13, 1998, 3:00:00 AM8/13/98
to
In article <35d1f...@news.avana.net>,
"Kris Adams" <kr...@ins.com> wrote:
> Hello all,
>
> I am on my second stint with a temp illeostomy -- after a failed j-pouch
> try. I am starting to have similar problems that I had the first

> time--sore/red/bleeding skin around the stoma. It is only on around 1/4 of
> the stoma, but it burns, itches, stings...
>
> I use a 2 piece Hollister system. I also use stomahesive. Right now I am
> changing it every 2-3 days. I apply powder on the red part and it seems to
> be real dry, but it seems like I am losing ground it. I would be interested
> in hearing how others change/fit their appliance or any other suggestions...
>
> My sore stinging skin thanks you (and so do I)
>

See your ET nurse. You may have an alergy. I am allergic to stomahesive paste
and haven't had any problems since I stopped using it. I'd suggest you do a
patch test. Put a dab of paste on your tummy and cover with a bandaid. When
they did a patch test on me I was supposed to leave it on for 48 hours. After
just a few minutes the burning started. We took it off after 24 hours and I
had blisters on my skin -- it was just burning my skin off. The ET said "Yep
- paste allergy!"

I too had a failed ileanal anastimosis and now have a permanen ileostomy. The
permanant ones are alot easier to deal with. Why did you get another loop
installed?

--
Barbara Skoglund (I)
Barbara.A....@tc.umn.edu

Earl

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Aug 13, 1998, 3:00:00 AM8/13/98
to
Stan (I) wrote:

> As with all new products, test them on some other part of your body for
> a few days before sticking them on sensitive skin around stoma!
> Good luck.
> Stan (I).

Excellent advice and deserves repeating. That goes for all products to
which a person suspects being allergic to. And also for the husband
having problems with skin barriers and adhesive removers referred to in
another post.

Earl (U)


Serv Gonsalves

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Aug 13, 1998, 3:00:00 AM8/13/98
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The literature that came with my Holister samples says not to use a
skin barrier. Has anyone had any experience as to it's use? I use
it with my Convatec and I am getting a little rash with the
Hollister. I would love to hear about others experience with either
product with and without barrier wipes.

Thanks,
Serv (C)

Kneppie

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Aug 14, 1998, 3:00:00 AM8/14/98
to
serv--I use hollister premier series and no I do not use a barrier wipe with
it. It interferes with the adhesive. But I used to use the regular hollister
series and did have to use a barrier wipe . I guess it depends on which
hollister series you use and what works best for your skin. Good luck ---

tracy kneppie


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