I am having trouble clearing up the skin rite next to the stoma. The glue breaks down very quickly. I have to change every second morning or else! Even then, my skin is raw and bleeding. I have tried different types of paste, the ekan seal, powder and a barrier, and nothing. I am now trying a thin coloplast type ring. I changed it last night and its worse than the last time. I can also only wear the coloplast regular wear flange, every thing else leaves the skin weeping and raw under the whole flange. Needing some advice. Help! Thank you.

I am dealing with the same problem. I switched to a convex wafer. remeasured the stoma for good fit. Continually "crust" the affected area on each change. Apply Eakin seal. Skin almost healed but it took awhile. The Eakins last longer on good skin. They break down after 3 days on weepy skin.

My main problem was the not having the right wafer. Once I switched things started to get better.

Have you talked to a wound/ostomy nurse?

Does the flange you use available with convexity?

I can only use the coloplast convex wafer. All the others make my skin raw, red and weepy. I also do the crusting technique. The eakin seal doesn't last any longer than the paste or glue stick. I am working with my stoma nurse rite now, but we are running out of ideas, so was hoping someone on here might have some. I have been reading thru the posts and we've tried them all. I am getting very frustrated. It was doing so well, then something changed. I have different types of allergies, so am hoping I am not getting allergic to these products.

I was having problems. I called coloplast and talked to one of their "specialists". She was a big help, got me samples of the convex wafer and it works better. I am also cutting the hole so it fits tighter than before. Stoma powder helps some. I change it every four days because there is still some red around the stoma. I think it is getting better. I am sure all the companies have someone to talk to. My person even called back to see how i was doing.

Not sure if this will help your specific issue or not but figured I'd share. I had an ileostomy for 10 weeks and the first 4 were rough had all types of issues with my appliance and similar skin issues as yours - large raw/red circle around my stoma that just wouldn't clear up.

Figured it was because I wasn't getting a completely sound seal and minor leaking prevented the skin from ever healing - not full blown leak but stuff getting under the flange and seal.

So what I would do when changing is get all my stuff out and ready to go then hop in the shower to clean up. I would cut the hole in the flange to match up with the size of the hole on the Eakin seal (which was probably slightly larger than the size of my stoma but didn't want to mess with trying to make the seal smaller). Then after showering I would use a hair dryer to dry off my stoma site completely then put it on high and 'heat up' both the flange and the seal. Then I would attach the seal to the flange while they were both hot and hold them together for a couple minutes. Then I would attach it to my body and hold in place for a bit and finally attach the bag to the flange. Noticed an immediate improvement next time I changed and kept getting better. By the time I got rid of the ileostomy last week it had completely cleared up....

Of course would have to deal with an active stoma as well on occasion during the change process which was always frustrating as heck.

Thank you so much for your advice. I tried the eakin seal, but it didn't exactly work so great. Saying that, I didn't heat it up. What I do is, I heat up the magic bag, and put my flange in between it while I am in the shower, then do my routine and put it on. I will try heating them both. I am open to anything rite now. I have also been trying leave the skin exposed to the air every other change when I have time. I let you know how it goes.

did you try the coloplast extended wear flange.
also how are you applying the eaking seal. I found better success sticking it to the flange and pushing it down on the flange and then putting that whole contraption on. And definitely hair dryer the whole thing after its on. I still can only get 2 days without leak with this method. But without the hair dryer only 24 hours. So I have to diligently change every two days, or the raw bleeding skin starts again. I have had to accept this as I went two months working with the best stoma nurses and trying tons of products from all the vendors and this is the best we can get.

oh one last thing if you have a loop ileo make sure you are not covering up part of the loop thingy as it puts out mucous and will quickly breakdown your eakin seal, etc.

I have tried the coloplast extended wear flange. Within hours my skin is irritated and weeping. The only flange I can use is the colplast regular wear. I have tried the eakin seal, the paste, the glue stick, another thin eakin seal type thing from coloplast, it doesn't make a difference, it still leaks and breaks down rite around the stoma. I am going to try the eakin seal again with your suggestion. Thanx for the advice.

have you ever tried a convatec moldable wafer? you don't have to cut out the hole- so no scissors and no measuring are required, and you get a tight fit around your stoma. it molds to the contours of your stomach too, so if it's all bumpy and weird like mine it will stick to you a little better and not come off so easily. i rarely have any leakage problems. actually i don't want to jink myself but not for two years since it was new... i also use a coloplast ring underneath the wafer, just for extra security and peace of mind the key to fixing any skin problem is to stop the leaking so your skin actually has a hope of healing. good luck.

The convatec wafer, within hours has made my skin itchy, red and weepy. I think I am allergic to it. I really liked the moldable too, but it just doesn't work for me. I am basically down to the coloplast regular wear. I am changing it every 2 days no matter what, and it has still broken down whatever ring type of thing I put under it. I am at a loss. Just doing the best I can until something else comes up.

I was having alot of trouble with skin break down around my stoma .I have a loop ileo and this is what worked for me. I use the Schena EZ clean pouch it is a water flush system . I am using a convex 1 piece pouch . I started using Ilex skin barrier paste . I applied it all around the my stoma I try to get as thick as I can After this I dust over the ilex with stoma powder then pat off the excess with make up brush. Over that I spray 3M cavilon no sting barrier film and then use a hair drier to get it set up .I repeat the powder and cavilon spray 3 or 4 times using the hair drier each times. Now back to the bag I am using an Eakin seal applyed to the wafer I use the hair dryer to heat up the Eakin seal and the wafer then put it on applying pressure for several minutes . This has taken care of my skin problems .The ilex paste has been the fix for me along with the crusting method . Also the Schena E-Z clean pouchs are absolutely the best The water flush system makes short work of emptying the pouch and its very clean .I can be in and out of the bathroom in just a couple minutes.I hope this helps someone out there this is what worked for me. good luck

The ilex really helped the butt burn. I will give it a try. crusting with adhesive spray with stoma powder or nystatin powder helps too. Covex wafer,cut tight with stoma also helps.

Have you tried Holister's? Also adapt paste for around your stoma. i think the most impotant thing for someone with allergies is to make sure that your skin around the stoma is cleaned with soap & fragance free products. The holister wafers seemed more user friendly for me.. and I did not have any irriations. Also the stoma powder helps the skin skin heal under the wafers. Remember when cutting the wafers to the size of your stoma to make it very close to [revent leakage from your stoma because your are so sensitive. Goodluck.

Sorry I meant to say the area area around your stoma under the wafer should be cleaned with soap free product, also my wound care nurse said baby wipes are also not good. I just used water on a paper towel and made sure the skin was dry before I applied the wafer. i really like the stoma powder. I don't know what's in it. But it worked wonders when U have irriation/reddness etc.,

Off-label use of Fluticazone (Flonase) nasal spray will heal the skin very effectively. I also use it for "crusting" instead of the barrier sprays or wipes. And yes a wafer, seals and etc will stick to the area after you appy the Fluticazone and it dries.