Stoma flush with skin

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donut
Regular Member


Date Joined Jan 2008
Total Posts : 54
   Posted 1/21/2008 4:55 PM (GMT -7)   
I have a temporary ileostomy that is now 7 weeks. My stoma has been shrinking down, which I understand is normal. It is flush with my skin, and I am using the convex Coloplast wafers. Even though, the skin right below the stoma is getting really raw because no matter what I do, stool just keeps laying against the skin. I use the Eakin seals, Stomadhesive powder and paste,but the opening to the stoma is right there. Any suggestions? the rest of my skin looks good. Should I contact the wound care nurse at the hospital? I am finished with my home health nurse, so I am not sure if it is really a problem or not.

Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/21/2008 5:09 PM (GMT -7)   
Have you tried an insert? An insert goes inside your wafer around you wafer. It pushed the wafer close to your skin. Here is a link to look at the insert http://edgepark.com/shopCatalog/ShowItemDetails.cfm?psku=51401614

I use these regularly and they help me a lot.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


DW38
New Member


Date Joined Jan 2008
Total Posts : 16
   Posted 1/21/2008 5:38 PM (GMT -7)   
donot,
my stoma is flush at the bottom, and raised 1/2 inch at the top. so i know what you are going through. the stool kept seeping into the seal, causing it to leak. i was changing the bag every day, and it was so raw that it was bleeding. i found a stoma nurse local to us and she fitted me with a hollister convex bag. no wafers, no paste, just the convex bag. It made my stoma pop up enough at the bottom to allow the stool to avoid the seal. I slept in the recliner for a while to keep the stool off the seal at night. I hope this helps...
Debi
Ulcerative Colitis for 15 years.
Asocol     librax
colazal    levbid
lialda      imuran
prednisone   remicade
lexapro (wonder drug)
December 21,07
Total Colectomy-Ileoanal Resevoir
Now drug free, and pain free
Reversal Scheduled for Feb 8th, 08
 
 


donut
Regular Member


Date Joined Jan 2008
Total Posts : 54
   Posted 1/21/2008 6:56 PM (GMT -7)   
Thanks! I don't know anything about the seal, but maybe I will try the convex wafer without all the other stuff...it may not be able to push down far enough to pop up the stoma..ewhh...how does one ever get used to this!

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/23/2008 8:31 AM (GMT -7)   
A convex insert works great for me too. It pops right inside the wafer so that I didn't have to buy a lot of new wafers. I was able to use the stock I had on hand without spending money on new wafers.
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 

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