Is the powder or the spray better for skin irritation?

Posted by pidge32 @pidge32, Mar 14 8:47am

When you use the powder for irritation doesn’t the barrier wipe take it off?

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Hi @pidge32

The Wound Ostomy Continence Nurse (WOCN) who first trained me showed me this method:

1) apply powder around the stoma, and/or on the irritated spot
2) brush or shake off the excess (I slap my stomach near the stoma to do this)
3) gently dab on barrier wipe, or spray on barrier spray to seal it in
4)apply another layer if needed or wanted
5) put on appliance as usual

If you are using a fungal powder, like Coloplast Microguard, I put on the fungal powder, dab with barrier wipe, then do a layer of stoma powder.

I've been using this method for over 20 years and haven't found anything better.

Are you having problems with irritation?

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Thanks so much. So much to learn in my “new normal “.

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Profile picture for Susan F, Volunteer Mentor @susanf8

Hi @pidge32

The Wound Ostomy Continence Nurse (WOCN) who first trained me showed me this method:

1) apply powder around the stoma, and/or on the irritated spot
2) brush or shake off the excess (I slap my stomach near the stoma to do this)
3) gently dab on barrier wipe, or spray on barrier spray to seal it in
4)apply another layer if needed or wanted
5) put on appliance as usual

If you are using a fungal powder, like Coloplast Microguard, I put on the fungal powder, dab with barrier wipe, then do a layer of stoma powder.

I've been using this method for over 20 years and haven't found anything better.

Are you having problems with irritation?

Jump to this post

@susanf8
Yes some.

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Profile picture for pidge32 @pidge32

@pidge32 I do powder and barrier wipe when the skin around the stoma is itchy or looks red. That was how I was taught in 1987 🙂
.

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No. My WOC RN explained that the wipe with fluid is a sealant with adhesive power. Same as the sticks. The wipe will remove excess powder. At least for my urostomy. I have no experience with a regular ostomy as I do not have one.

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Profile picture for Susan F, Volunteer Mentor @susanf8

Hi @pidge32

The Wound Ostomy Continence Nurse (WOCN) who first trained me showed me this method:

1) apply powder around the stoma, and/or on the irritated spot
2) brush or shake off the excess (I slap my stomach near the stoma to do this)
3) gently dab on barrier wipe, or spray on barrier spray to seal it in
4)apply another layer if needed or wanted
5) put on appliance as usual

If you are using a fungal powder, like Coloplast Microguard, I put on the fungal powder, dab with barrier wipe, then do a layer of stoma powder.

I've been using this method for over 20 years and haven't found anything better.

Are you having problems with irritation?

Jump to this post

@susanflower
Sometimes it gets pretty irritated and sore.
Thank you for your input.

REPLY
Profile picture for jaxfl @jaxfl

No. My WOC RN explained that the wipe with fluid is a sealant with adhesive power. Same as the sticks. The wipe will remove excess powder. At least for my urostomy. I have no experience with a regular ostomy as I do not have one.

Jump to this post

@jaxfl the technique should also work for a urostomy, as well as other types of ostomy.

Yes, if you "wipe" with the wipe, you can remove the powder. If you dab gently you seal the powder in. Does that make sense?

Is what you are doing working for you? If it is, keep on doing it!

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I have a couple of leaks recently. Up to this point all was well. We are very careful when changing my bag, and change it and clean it every 5 days as we were told to. Is anyone else finding this happening to them.
Is there a cer kind of bag they find works better than others?
TY

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Profile picture for pidge32 @pidge32

I have a couple of leaks recently. Up to this point all was well. We are very careful when changing my bag, and change it and clean it every 5 days as we were told to. Is anyone else finding this happening to them.
Is there a cer kind of bag they find works better than others?
TY

Jump to this post

@pidge32

The first thing I ask myself when I get a leak is "is something different?". This can be anything from being out in the heat and sweating a lot, having the bag over fill before I empty it, having a yeast infection, or maybe something I ate giving me very runny output.

It can also be putting on the appliance a bit crooked, or, if you are still recovering from surgery, your stoma shrinking.

Have you tried changing more frequently? I change every 4 days, although sometimes, if I'm itchy, I change after 3 days.

Has anything changed lately?

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There is no one size fits all or better or worse ostomy appliances. You don't say what you are using...or maybe I've just missed it.

I started off using Hollister, 2-piece, flat flange. It leaked constantly. With the help of local district nurses, I ended up on Coloplast, 2-piece, deep convex flange. And over the last 2 years I've added an Eakin ring and I use Skin Tac and so on and so forth. I use Coloplast Sensura Mio with Convatec's adhesive remover, extra-thin hydrocolloid dressing, and Eakin ring, and Hollister's Extenders. And I'm thinking about switching some of that still as I search for the best arrangement. I do think that Hollister has the most complaints about quality or lack thereof, and it's my contention that Coloplast has the best track record,

In the last year and a half, I've never changed my appliance in under 7 days and often can go for 14 days. I must have the skin of a rhinoceros. (Knock on wood)

Send for all the free samples you can get and try them all until you find what's right for you.

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