Skin problems under Ostomy appliance

I’m new to this
Can you share what the paste is?

Also what’s the advantage of a two piece?

Folks use the paste to fill in the dips in their anatomy which are situated under the barrier/flange.

I have a very deep navel cavity which is a problem for me leak-wise. I used Coloplast's Brava® Ostomy Strip Paste to fill it in until I came up with a better idea. I cut out a small piece which covers my cavity from Convatec's DuoDerm. The stuff is costly to buy but I'll be gone from this world before I can use it all up. It's no mess, no fuss, works beautifully.

As for the two piece system. I use Coloplast's Sensura Mio 2 piece. Perhaps just my preference. I can take the pouch off the flange to shower.

I use a Hollister two part system. Before I apply the flange, I apply calamine lotion all around my stoma area. Hit it with a blow-dryer until it is chalky dry, then apply skin prep and then the flange. Warming the flange with the blow dryer helps with adhesion for me. Recently I bought a stoma cover for showering on temu. for about $10.00. Use without the bag to cover the flange when showering. I have lived with an ostomy for twenty years. You can do this!

Two piece appliance lets you change the bag instantly when nearing full. No down time at all.
Change the flange every few days at a time of your choice and convenience.

Yes, I can describe the paste, it is called Hollister Ostomy Adapt paste, the Hollister number, is 7906. It comes in a tube and I run a bead of the paste around my stoma before attaching my New Image flange to my skin. Full description below. I also added a picture of my four products that I use.

1. This is the steps I do for each new attachment.
2. I wash my skin with soap and water making sure all soap is off my skin.
3. I then clean it with alcohol swabs usually two to make sure I get all the bacteria off my skin, (I don't touch my stoma with the alcohol) so when putting a new appliance on I don't have any bacteria on my skin that will break down my skin.
4. I then use Hollister Adapt Stoma Powder, I squeeze it around the stoma.
5. I then run a bead of Hollister Ostomy Stoma Paste around my stoma.
6. I then attach the flange to my skin. This way I have the stoma paste as one more defense of attachment so the bag doesn't fall off.
I have done this from the first month I got my colostomy. My surgery was April of 2017 and I have never had any trouble with my skin breaking out getting ulcers under my flange or even a rash.
Good luck and I hope that you never have any problems with you ostomy.

The advantage of a two piece is that I don't have to change my flange that adheres to my skin for every new bag. (which I feel causes the skin to break down with so many changes.) I can rinse the bags out or throw them away but I rinse them often. I get about 7 to 9 days out of each new placement. I don't have to buy so many bags because I do rinse them out and get more days out of them. If I had a one piece I would have to change the whole set up each time I needed to change the bag, which would be for me every day. I have written a long explanation about the paste in a previous note.

I use the Convatec two peace appliance. To protect the stoma I put a thin layer of Eakin cohesive paste around the stoma. I use Esenta skin barrier adhesive wipes. I then apply a light dusting of Nystop powder brushing off excess powder or you can use the used adhesive to dab off the excess powder. I then apply the moldable skin barrier to fit my stoma. Snap on the bag and warm the skin barrier by warming a package of disposable wipes in the microwave for 15-20 seconds, then hold it on the appliance for about a minute this helps to adhere the wafer to your skin.
When I travel and don’t have access to a microwave I’d use a hair dryer. No leaks for me. You need prescription fo the Nystop
Good luck Jim
Nystop powder

Our Ostomy Nurse at Mayo Jax suggested we use Flonase. That was 4 years ago and although my husband’s skin is an angry red color, it has never had any sores or infections. I don’t know what optimum so maybe someone can enlighten us. He dries the area with a cool hair dryer before and after applying the Flonase. He uses a one piece pouch and changes it out once a week. I hope this helps.

I choose to use a coloplast mio flex one piece closed end pouch which is disposable I feel much cleaner having a clean bag on every time It takes me all of 5 mins to change the bag I do not use a lot of products since their products can be used without skin barrier I simply wash area with warm water dry with hairdryer and attach new bag I never have skin problems I love to soak on a hot tub every day and thoroughly clean stoma area When I do go out I will use skin tac and barrier strips for added protection but I dont at home If i feel any irritation I use stoma powder but that is rare I was having a problem with pancaking and saw a great stoma nurse at Mayo in Jacksonville and she gave me helpful tips about placing a blue sticker over the air filter and making sure there is some air in the bag before you attach it and I have not had an incident since. This is now a way of life for me and I simplify the process and number of steps required to change my appliance When i tried using systems where I only changed the wafer every three days I got irritated and itched Everyone has to find what works for them but I wont let this consume my life I see no need to wash bags or over prepare the stoma area that is a waste of my time I just make this as simple a routine as I can

I have a colostomy, and have had it sense 4/2017, I clean my skin with an alcohol swab or two before putting the face plate (flange) o that way all bacteria is gone. I have never had a rash or an ulcer my skin is nice and pink when i change appliances. This is the only thing I can suggest to keep bacteria from growing under the flange.