Skin problem and blow outs on bag edge
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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When I am going to do anything with any kind of heavy lifting or stress on my ostomy, I wear an ostomy support belt I bought on Amazon. It holds my stoma with support and yet allows it to stay free of the compression. I have had my ostomy sense 4-18-2017, I have a hernia because I was not aware of the hernia problem in the beginning and did not have the proper support for an ostomy and ended up with a hernia. I absolutely think this ostomy support belt is very necessary.
this is what it is called...(Men Or Women Medical Ostomy Belt Ostomy Hernia Support Belt Abdominal Stoma Binder Brace Abdomen Band Stoma Support (Hole 3.14") for Colostomy Patients)
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1 ReactionI am 86 and have had my surgery for almost 2 years I tried many bags and also never felt clean with drainable bags There was always residue left which I could not stand I never got more than two days out of my barriers I finally went to a Coloplast convex disposable bag. I change my entire appliance 4 times a day, My skin does not get irritated like it did when barrier was on for two days When I do go out I do use skin tac and barrier strips When at home I dont My skin is in much better condition and I feel so clean with no odor. When I go out I just put a nice clean bag on and feel confident there is no odor It takes me 5 to 7 minutes to change my bag so it is not a big deal to change I also do take baths and soak my stoma. If get any sign of irritation I use the stoma powder with skintac I have found over my two years that the less i use the better off I am I went to a stoma nurse at Mayo who was wonderful Most leaks are caused by stools pancaking and pushing device off She taught me this was caused by no air in bag which causes it to compress and not allow stool to flow into bag She showed me how to apply my bag and allow some air into it and I have not had a blowout since
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2 ReactionsI use Skintac liquid adhesive by Torbot… it’s the best thing since sliced bread when it comes to adhesion!
I dip a couple Q-tips in it and apply it around the entire area around my stoma, wherever the appliance is going to be, air dry it for about 15 seconds,and then put the appliance on. It’s the best stuff ever.
I too use the brava rings… I use the thin ones, and I put it on the sticky skin side of the wafer… I don’t try and put it around the stoma itself.
Hello IRandall51,
this is months later than your post, but hope it helps.
I have had my stoma which I call "Rosebud" sense 4-2017, in the first 6 months to a year, I hated it but O also knew that it was a life saver for me. I could not go on living with the amount of hospital visits I was making (3or4 each month). It took me time with my home health care nurse to figure out how to take care of my ostomy the skin around it and the bags and flange I used. My home health care nurse came and kept changing my appliance but would not tell me about it and what I would need, She brought me my supplies for the day she was changing it but didn't help me much, I did find out she did not know much about an ostomy, so she was learning on me. I finally figured out what I needed. and it was so much simpler than the way she did it. She used may more supplies on me that I do I use 4 things she was suing at least 6 and things I didn't need and that didn't work. I had to find out what worked for me. And it is simple, I will attach a picture of my supplies.
But this is my routine. Before or after I shower I take off the appliance and wash the skin good avoiding touching the stoma, I then clean the skin with one or two alcohol swabs to clean the skin of any bacteria, I didn't like the products the nurse brought to clean my skin with I found that I would break out in little pimples or a rash from the cleaning agents in the packets she brought. Cleaning the skin with alcohol would clean the skin of all bacteria so nothing could grow under my flange. Then I sprinkled around the stoma a dash of stoma powder and over the powder I would put a bead of stoma paste then I put the flange on and the bag. It last 6 to 9 days. I have had no breakouts sense I started doing my bag change this way.
I do get pancaking around my stoma if there is no air in the bag. I don't use a bag with the vent because it sucks all the air out and I keep pancaking. I like it to fall in to the bag.
I wash it out with just regular water when I use the bathroom. If it need to be emptied. That way I use the same bag until it needs to be thrown away. And that is a personal choice.
I hope you find a comfortable way to take care of your stoma, and can live with it.
So I named my stoma and bag, Rosebud and Pouch.
I had problems with blowouts too. I started making the hole in the base plate a little bigger so it didn't squeeze my stoma and that seemed to help. I change my bag every 3-4 days.
I am 7 months out and a couple of months ago changed from a drainable pouch to a disposable one. Loved it, though you have to be careful of your skin when changing the whole thing a couple of times a day. And THEN, I was given a new type of skin protector pad and developed a rash under the whole appliance. Not a believer in coincidence, after a few days I found some of the old pads and went back to them. A few days later and the rash is almost gone. So, please be aware that your skin may or may not like a particular product, and don’t be afraid to move on. Best wishes!
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2 ReactionsI also use a coloplast mio flex disposal bag and love it I found the less products I use the better off I am When I go out I will use skin tac and barrier strips but I dont when I am home If it ever get a slight irrtation I use a stoma powder You are right in everyones skin does not react the same s and you need to find the right product for you but I highly recommend disposal pouches
1. Wear a belt. Always.
2. Be sure your hole is cut in the bag the exact shape of the Stoma.
3. Be sure and measure your Stoma and have your Barrier ring and bag fit snug around your Stoma. You should not see skin.
4. Clean the skin around the Stoma with Adhesive Remover Wipes and a warm bath cloth. I never use soap.
5. Dry the area around the Stoma with a hair dryer and treat the red area with Stoma Powder and spray the treated area with Barrier Spray. It is not necessary to spray Barrier Spray on the other skin. Dry it with the hairdryer and repeat. This is called crusting. I use the thick barrier ring.
6. I put my Barrier Ring on my Bag being sure that the holes are lined perfect.
7. Just prior to placing your bag over the Stoma heat it with the hairdryer. I get mine pretty warm. This helps it to stick.
8. Sometimes you can get a Fungus and need to use a fungus powder rather than Stoma powder. I use Zeasorb for this which was recommended by The Mayo Clinic.
9. Sometimes you might get an infection from the leakage and need to have a culture in order to know what Antibiotic to treat it with. Hope this helps.....
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2 ReactionsI would add to that excellent list from @ harrison221 use Skin Tac for extra 'stick' and also use the Hollister 3 piece barrier extenders (easier to place than the longer Coloplast 2-piece ones.)
@piki I also use SkinTtac which I really like I never use a belt I use a coloplast one piece disposable system which I love I did get to see a stoma nurse at Mayo She told me that if you do not have some air in your ostomy bag it will pancake I also find I need to keep my stools very soft not to have a blow out This info has worked well for me in controlling leakage I also find the less products I use the better off I am I only use stoma powder if my skin feels sensitive which is rare. I gave up using the rings since they never seem to help I will use Skin Tac The stoma nurse did suggest putting the blue stickers that come with bags over filter of bags I do use a hairdryer to warm the ostomy bags and dry skin I have my changes of ostomy bags down to 5-7 minutes and its working fine for me. Everyone has to find what works best for them. I did have a nurse and coloplast tell me that with their product you do not need a barrier spray since it is built into their products but it does not hurt to use it them I also buy precut ostomy bags which works great I am 86 with bad arthritis in hand so I cannot cut my own bags