Barrier Spray/Wipes?

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Regular Member

Date Joined Oct 2008
Total Posts : 262
   Posted 11/26/2008 2:16 PM (GMT -7)   
I have been having some irritation around stoma site and was wondering about barrier wipes and spray.  I used mycostatin powder around the site, and on my irritated belly under wafer, and then used a barrier wipe.  Is this the correct way to do it?  It seems that the barrier wipe took away the powder I put on, although this is the way the home care nurse told me to do it.  Anyone have experience with this?  This morning I had a major leakage problem and had to change my applicance again after just a day and a half, and this was with an eakin seal.  When I changed this morning i went back to the paste, just to see if maybe it will work better for me.
Any advice would be appreciated!  confused

Regular Member

Date Joined Mar 2008
Total Posts : 137
   Posted 11/26/2008 3:33 PM (GMT -7)   

I have had luck so far--no major skin problems...

My stoma nurse showed me some products I could use if my skin ever did become a problem---skin barrier wipes and stoma powder (like you mentioned).

She said to use the wipe First (it puts a clear, protective coating on the skin), THEN use the powder. Like you said, if you use the powder first, I would think the skin barrier wipes would take it all away anyway...!

I also have had luck with paste (all I use is a wipe and then some paste). I have fairly sensitive skin, and I know it gets irritated if I change my wafer a lot, so I try to only change things every 5 days.

One thing I do to help prevent leaks: The most important thing is to get a good seal on the area right around the stoma. Make sure this area is completely dry before putting any paste or wafers on! Since our stomas are wet with mucous stuff, I make sure to take some gauze and wipe Really well around the stoma before I put anything on (hope that makes sense).

Good luck! :)

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 11/26/2008 7:03 PM (GMT -7)   
yeah you are supposed to use the wipe first. I dont use them though, using them shortens my weartime considerably. Some people don't have any problems though.

If you use a hair dryer on it right after you change your bag you can get a better seal that way too. just hold the hair dryer on there and run your fingers around smushing it down.

Regular Member

Date Joined Jun 2008
Total Posts : 31
   Posted 11/26/2008 9:03 PM (GMT -7)   
My WOC nurse recommended Nexcare's No Sting Liquid Bandage. You apply the powder first, then spray the skin to create a protective barrier that holds the powder on. It also works great to help improve adhesion on healthy skin when changing your appliance. You can find it in most pharmacy and grocery stores. Here is a shortened link to the company's information page:
26-year-old diagnosed with UC in 2004
Underwent stage one of J-Pouch surgery on September 16, 2008
Now living symptom-free thanks to the Cleveland Clinic

Regular Member

Date Joined Oct 2008
Total Posts : 262
   Posted 11/27/2008 8:33 AM (GMT -7)   
Thanks everyone!  The mess I had yesterday made me really paranoid now about it happening again at a very unfortunate time.  "them's the breaks" of wearing a pouch I guess.  Except for that incident, I am still grateful for my little "Lola" and her attached pouch, AND to be feeling so well!! 

Veteran Member

Date Joined Aug 2007
Total Posts : 1998
   Posted 11/30/2008 5:25 PM (GMT -7)   
Ditto on the comments about getting a good seal when you first apply the new wafer/pouch right around the stoma!!! Pressing on it/warming it with your fingers or warm setting on hair dryer, both work well.
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 

Forum Moderator

Date Joined Feb 2003
Total Posts : 1250
   Posted 11/30/2008 9:01 PM (GMT -7)   
I'm a 'less is more' type person. The less you use on your skin, the less chance you have of being allergic/getting a leak. All I use is an Eakin Seal and my one piece bag.
You have to experiment. Try leaving one step out at a time and see if that reduces/increases your weartime. You may find you can get along well without using all the products that you're 'supposed' to.
Good luck.
I have had an ileostomy for 32 years now due to UC.
Moderator of the Ostomy Forum
I'm not a complete idiot - some parts of me are missing!

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