Skin problem and blow outs on bag edge

Posted by lrandall51 @lrandall51, 4 days ago

I am almost 6 months out of surgery. I have a rash around the stomach area where bag adheres to skin. Any suggestions?
Also. My stool seems to collect at the stoma and eventually pushes thru the seal of the bag. Any suggestions? I started using the lubricant and it seems to help. Trying to firm up stool as well. Thank you

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@pez01

I find just the opposite the thicker my stool the more it pancakes. I use a coloplast convex closed end disposal pouch. I change it 3 to 4 times a day and wash the area with warm water this seems to keep my skin from rashes and feels much cleaner. I take colace twice a day as suggested by surgeon and this keeps my stool soft enough to not pancake and leak. When my stool pancakes it causes leakage I do use a lubricant It takes me 5 minutes to change my pouch when I tried open ended pouches my barrier never lasted past two days and usually just one so this method works best for me I also take warm baths and soak my stoma which helps

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I didn’t know you could bathe! Any special prep to do?
I clean the area with warm wash cloth and use a powder for moisture, blowing off excess before applying bag.
TY for the input. Whole new world

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@cartenhopper

I developed a red rash too and it itched like crazy. I went to see my doc, GP, about it and she said it was a fungus rash. She prescribed me an antibiotic cream to put on it and it got rid of it quickly. I pour soapy water into my bag when cleaning it and rinse with clear water. Then I roll up a paper towel and dry it out inside. Works for me to keep things clean. I hope your issues get better soon!

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I will check that out. The skin worries me because I feel it is susceptible to infection.

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@lrandall51

The skin is sensitive under the appliance. Just irritated skin…I itch so I am taking an allergy pill to see if it helps.
Trying to firm up stool now as I think it would be better

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If I get irritated here and there underneath my appliance, from repeat leaking, I’ve used a dusting of stomahesive powder, blow off any excess, then dab with non sting skin prep…for more diffuse areas I’ve used the ultra thin duoderm, that someone suggested on the skin around the stoma, then put the appliance on. If I have an itchy rash, like from moisture, I treat it like a fungal issue, and dust on some Desitin powder, blow off excess and dab it with skin prep before putting on the appliance

Your main goal is finding a pouching system that works better and doesn’t leak. Is your stoma high enough above the skin or closer to skin level? If it’s closer to skin level, barrier rings and a convex flange may help. I have an ileostomy with more liquid stool. I use Brava barrier rings and they are awesome. I also try and eat more binding foods to firm things up a bit, but when all else fails I do use Imodium.

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@lrandall51

I didn’t know you could bathe! Any special prep to do?
I clean the area with warm wash cloth and use a powder for moisture, blowing off excess before applying bag.
TY for the input. Whole new world

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I bathe when my system is calm and I havent eaten in a while I put a washcloth over stoma just in case it leaks and it really feels great to thoroughly soak and clean area. In between changes I use a warm washcloth also. I use a hairdryer to be sure area is dry before applying new pouch

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@pez01

I bathe when my system is calm and I havent eaten in a while I put a washcloth over stoma just in case it leaks and it really feels great to thoroughly soak and clean area. In between changes I use a warm washcloth also. I use a hairdryer to be sure area is dry before applying new pouch

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That’s what I do. Have u ever heard of someone going in a hot tub? Just wondered if it was possible. Or too risky

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@ravna

If I get irritated here and there underneath my appliance, from repeat leaking, I’ve used a dusting of stomahesive powder, blow off any excess, then dab with non sting skin prep…for more diffuse areas I’ve used the ultra thin duoderm, that someone suggested on the skin around the stoma, then put the appliance on. If I have an itchy rash, like from moisture, I treat it like a fungal issue, and dust on some Desitin powder, blow off excess and dab it with skin prep before putting on the appliance

Your main goal is finding a pouching system that works better and doesn’t leak. Is your stoma high enough above the skin or closer to skin level? If it’s closer to skin level, barrier rings and a convex flange may help. I have an ileostomy with more liquid stool. I use Brava barrier rings and they are awesome. I also try and eat more binding foods to firm things up a bit, but when all else fails I do use Imodium.

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My stomach is flush to the skin. I also use Hollister bags and the barrier ring. I think my blowouts were caused by the stool that collected around the stomach as there was so much! It wouldn’t drop into the bag just kept collecting til it pushed out. Good thing I changed all those diapers years ago in my day care!

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@lrandall51

My stomach is flush to the skin. I also use Hollister bags and the barrier ring. I think my blowouts were caused by the stool that collected around the stomach as there was so much! It wouldn’t drop into the bag just kept collecting til it pushed out. Good thing I changed all those diapers years ago in my day care!

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My stoma. Is flush to my skin.

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@lrandall51

Thank you for your help. I am trying to firm up my stool with the same OTC meds. How long does it take to heal from surgery? I am 6 weeks out and it still looks raw. My skin is suffering the most….still looking for an osteomyelitis nurse here.

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I don't know what you mean by heal. It took my Stoma about 2 Months to shrink down to proper size. The Stoma should be reddish/pink in color. If your skin looks raw around the Stoma you need to see a Dr, Stoma Nurse, or Wound Care Dr immediately. I can't emphasize this enough. Don't mess around with this.

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@lrandall51

That’s what I do. Have u ever heard of someone going in a hot tub? Just wondered if it was possible. Or too risky

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I havent tried hot tub but I have been in pool with no problems

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@pez01

I bathe when my system is calm and I havent eaten in a while I put a washcloth over stoma just in case it leaks and it really feels great to thoroughly soak and clean area. In between changes I use a warm washcloth also. I use a hairdryer to be sure area is dry before applying new pouch

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Bathe as in the bathtub? I would give a million dollars to take a bath but I have yet to even shower! I do have sitz baths and wash daily.
But a real Bath, omg, a dream come true. Is that safe for your stoma as far as soaking in water that could have germs in it?

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