problems with the illeostomy

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nymedic
Regular Member


Date Joined Nov 2005
Total Posts : 39
   Posted 2/28/2007 10:47 AM (GMT -6)   
hey guys,
 
     I was wondering if you guys can give me advise. I use the holister cut-to-fit wafer.  and had a problem with yeast infection on my skin which seem to clear up with the nystatin powder we put on, when i was in the hospital.  but now that i'm home i have problems having the wafer stick, my wife was still kinda pushing the issue in preventing yeast (i'm on antibiotics still for another week or so).  we were suggested by a pharmacist to try cream  and used it very sparingly and as a skin prep i use smith-nephew spray skin prep.  i have been getting between 1-2 days  out of a wafer if i'm lucky.  this morning i leaked in bed, and we repouched and i decided just to use the skin prep and the wafer instead of putting the antifungal paste/powder with the hopes that the cream/powerder was reducing the effectiveness of the adhesive.  we were lucky this morning in the fact that i woke up just as it was starting to leak through the side.  are there any tips/tricks that i can try to keep this from happening or do you guys have any tricks that help with everyday life??  how do you secure it when your wearing jeans/pants??
 
--chip
Pancolitis since May of 2005, Primary Sclerosing Cholangitis since April of 2006, and Deep Vein Thrombosis November 2006.  I'm a new daddy, new hubby, and new state within the last 10 months.
 
40mg tapered prednisone, 10mg lexapro, Illeostomy, 50 mg atenolol. 
 
Knowlege is key to defeating these diseases, you are your best patient advocate.


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5690
   Posted 2/28/2007 11:40 AM (GMT -6)   
I found the cut-to-fit appliances to be okay in the hospital but had an ET nurse evaluate me at home for something with a better fit. Your stoma could be slightly recessed which would necessitate a convex wafer. Your insurance company should be providing a visiting ET nurse to make evaluations based on your physiology. Typically you should get 4-5 days wear out of a wafer.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free
 


vette guy
Veteran Member


Date Joined Nov 2006
Total Posts : 650
   Posted 3/1/2007 12:10 AM (GMT -6)   
First, make sure IT IS a yeast infection. I developed an infection under my wafer about a year after my surgery. It wouldn't go away and got much worse over time, no matter what the doctor prescribed. You don't say what caused your ostomy. But, in my case it wasn't an infection at all, but a Crohn's related skin condition known as pioderma gangrenosum. "PG" is very hard to diagnose because it is not very common and most cases occur with those with Crohn's or UC. Don't waste time. Go to a good dermatologist and have it diagnosed. It could save you many years of anguish, because PG is VERY painful......then again, maybe it's just a yeast infection,lol.

nymedic
Regular Member


Date Joined Nov 2005
Total Posts : 39
   Posted 3/1/2007 3:32 PM (GMT -6)   
hey guys,

the nystatin clreared it up and i spoke with an ostomy nurse who suggested just cleansing (sp?) the skin real well, applying the skin prep solution and apply the wafer with the paste without cream/powder, so far so good. i actually feel like it is stuck to me now and secure, there are a few spots around the very outside edge (that go appx 1/8 toward the stoma that are not adhearing but the rest of it seems to be good. she also suggested having masticol solution or tinture of benzoin solution to help adhear if problems presist. It actually feels like there is a suction cup type of feeling around the site. the skin looked like colonized yeast per the md, and teh nystatin poweder seemed to clear it up. My illeostomy was emergent from a ruptured appendix and severe ulcerative colitis in my acending colon.

thanks guys

-chip
Pancolitis since May of 2005, Primary Sclerosing Cholangitis since April of 2006, and Deep Vein Thrombosis November 2006.  I'm a new daddy, new hubby, and new state within the last 10 months.
 
40mg tapered prednisone, 10mg lexapro, Illeostomy, 50 mg atenolol. 
 
Knowlege is key to defeating these diseases, you are your best patient advocate.

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