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I had my 2nd step 3 weeks ago and since then the skin below the stoma is getting more and more ulcerated and now bleeding.

I've tried the crusting technique, rings, paste, and am using a convex barrier- everything the wound care nurse recommended. The stoma points downward and parts of it are flat so it just somehow always seems to get a little output under the flange below it. Does anyone have any more tips or tricks to manage a loop? I had an end ileostomy for 2 years and this is so much more difficult to manage.

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Hi Moirathestoma,

First of first, you should contact an ostomy nurse and let them look at it, they may prescribe some ointments to you. And they may ask you replace the barrier every day until symptoms go away. I had an similar situation after second surgery, and I figured out I was allergic to the convex barrier at the end.

You should try your old regular barrier, and a barrier ring. The barrier ring should prevent leakage.

My symptoms went away in 3 days, after using old products and prescribed ointments.

I had the same problem. My issue was that my stoma was overactive and producing more than twice the maximum amount per day. It was impossible for my skin to heal or even attach a bag successfully for more than a day.

I solved the issue with Imodium.. That slowed down the output, so I could properly attach the bag and my skin got a lot better. I know some doctors can be wary of taking Imodium with an ileostomy, so you may want to check with your doctor before trying it.

If you have an overactive stoma like I did, please beware of dehydration. I had to be hospitalized twice for dehydration. Since I started the Imodium, I no longer had dehydration issues.

I remember how painful and frustrating it all was. Now,I have a healthy j pouch and that's all behind me. Good luck!

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