Skin problems under Ostomy appliance

Posted by mariar55 @mariar55, Jul 8, 2025

I have a urostomy since Feb 2022 and have a lot of problems with the skin under the coloplast appliance. I have done allergy testing and I am not allergic to the appliance . Does anyone have this problem and what helps heal the skin?

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Profile picture for weymouthpaula @weymouthpaula

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!

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I have used the calamine lotion before. What skin prep do you apply?

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Profile picture for mariar55 @mariar55

I have used the calamine lotion before. What skin prep do you apply?

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Right now, Safe n Simple. Learned about calamine years ago from comments on a British Ostomy site.

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Profile picture for weymouthpaula @weymouthpaula

Right now, Safe n Simple. Learned about calamine years ago from comments on a British Ostomy site.

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When I first started I had very painful skin irritation from using a one piece Hollister system that didn't vent. Literally a baggie with an attached flange and no vent for gas. Horrible.
By the way, for me, using a generic antacid that is anti gas works well as a bag lubricant. Years ago the home health nurse suggested that I use mouth wash. Not a best choice for me at all.
I take a hot soaking tub bath with stoma completely exposed before changing out the flange. Have a hard plastic cover with a waistband that I use over the flange for showering. Not perfect but helpful. If I get the tape around the flange wet it leads to early failure.

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Profile picture for weymouthpaula @weymouthpaula

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!

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Great tips about the blow dryer! Not only does it help it stick. It helps me during a change to remove the sticky.

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Profile picture for 2SelfBTru @klancee47

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.

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Thank you for the very thorough reply! I have been following your steps, including the alcohol wipes.
I did change system to Convatec.
I’ve not had any problems since!!

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Profile picture for jt128 @jt128

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

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Very helpful!!

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Profile picture for pez01 @pez01

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

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That’s what I was hoping for I don’t mind throwing the bags away each time. I probably only go a few times a day. And to alleviate the time and best I would pay for extra bags!!

Agree
I’m not going to let this consume me!

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One of the videos I watched was a young woman discussing her ostomy practices. She said that eating a couple of marshmallow a couple of hours before changing her pouch kept it from "doing its business" during the change. I tried, but only gave it an hour. There was a little "activity" but not much. Will try it again.

Also, I discovered a Box of Rags by Scott Tissue in the garage. I confiscated them and ordered another from Amazon. They are larger and much softer that paper towels, not very expensive, given the number in the box, and work beautifully for cleaning during my changing process. I honestly don't feel that it is sanitary using a wash cloth if it is going into the laundry with other items, and this solves the problem.

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Profile picture for bettes @bettes

One of the videos I watched was a young woman discussing her ostomy practices. She said that eating a couple of marshmallow a couple of hours before changing her pouch kept it from "doing its business" during the change. I tried, but only gave it an hour. There was a little "activity" but not much. Will try it again.

Also, I discovered a Box of Rags by Scott Tissue in the garage. I confiscated them and ordered another from Amazon. They are larger and much softer that paper towels, not very expensive, given the number in the box, and work beautifully for cleaning during my changing process. I honestly don't feel that it is sanitary using a wash cloth if it is going into the laundry with other items, and this solves the problem.

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I bought twelve white cotton wash cloths for the bag changing. No problem in the wash as I always rinse the cloths before the go into the washer. And I always use peroxide instead of bleach. Nothing to throw away and no extra cost.

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