Need Advice: colostomy stoma + skin infection

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New Member

Date Joined Jun 2010
Total Posts : 4
   Posted 7/19/2010 9:37 PM (GMT -6)   
So, I've had my stoma for about 4 weeks now, the first two weeks @ work were fine, we noticed a certain redness around the area, but did not waver since it looked like lack of oxygen to the skin area...

2 more weeks came by, and the area around it really started flaming up and weeping like crazy (yes, crazy weeping.. it literally dripped). Text'd my Colostomy Nurse some pictures and he got back to me, stating that it may be Candidiasis... got me some Nystatin powder.. and boi, was it hard to put it on.. had to figure out how to put the Nystatin under the wafer's tape which made it not seal well.. wasted a few wafers that way... well.. doc appointment came by, and when he looked at it, he thought it may be dermatitis and wanted to give me a biopsy, oddly (and maybe i shouldn't of) I said no, and he decided to give me steriod cream (tri..something..something...long) which has successfully stopped the weeping... but i'm going through 1 wafer a day..

any one got tips and/or recommendations on how to keep the darned wafer in place and sealed so the cream can be put on, but not interfering with the wafer?

Update: the best thing we can think of is, putting wafer on, rotating the adhesive on the wafer 45 degrees whenever we put it on, rub the cream all over, take a 8x8" absorbent pad cut a hole in the middle the size of the wafer pouch hole, supa-dupa tape it up, then pouch over that... [this under business attire is semi-ridiculous since it's semi visible, but what can i do?]

Post Edited (yanger) : 7/19/2010 8:50:31 PM (GMT-6)

Veteran Member

Date Joined Dec 2008
Total Posts : 1325
   Posted 7/19/2010 10:03 PM (GMT -6)   
I have had my ileo since June 21, just shy of 4 weeks and I had some skin issues also. I was given the nystatin powder and diflucan, which is pill you take by mouth for yeast. It has worked wonders. How I was told to get the wafer to stick after the powder was to dry the skin very thoroughly then apply the powder all around the stoma, then kind-of blow the powder, then dab the powder with an allkare skn barrier wipe....then apply more powder, then dab with the allkare wipe...this was to be repeated 3 times. Then, right before applying the wafer, I again went around the skin with an allkare skin barrier wipe, then applied the wafer.

I am not sure how you are getting any wafer to stick with cream on your skin. idea

But, if you go back to the stoma powder or nystatin powder, just do the above steps and it should stick....

I am glad the steroid cream is atleast clearing your skin up...ouch, that must of been very painful to your skin....
Diagnosed w/colonic inertia, obstructive defecation syndrome, anismus, rectocele, and intussusecption
2005-hysterectomy w/pelvic prolapse repairs
2010-subtotal colectomy, rectopexy, and temporary diverting loop ileostomy

Regular Member

Date Joined Mar 2005
Total Posts : 457
   Posted 7/20/2010 3:55 PM (GMT -6)   
I just went through this today. It's like every time I go outside the adhesive gets soft and so does the wafer and it lifts up. Then stool gets under and my skin gets all red. The ostomy nurse put some stoma powder on it, dabbed it around and then applied some spray stuff. It's called Kenalog? spray. I haven't picked it up yet from the pharmacy. it does sting a little for a minute but now it's not all itchy anymore. She then changed my system to this little ring adhesive that you stretch to fit over the stoma. Then the wafer is a little concave because when I sit there is a little bit of fold in the skin. She said it's also good for when you use your stomach muscles to lift things (like I do at my job) I think this is going to fit a lot better and keep it from leaking to the skin. I feel a lot more comfortable now.
Good luck.

not creative
Regular Member

Date Joined Mar 2007
Total Posts : 470
   Posted 7/23/2010 10:48 AM (GMT -6)   
Pink Hy-Tape is very very helpful. I tend to have some weeping patches too, I use the tape and a sure seal and my wafer doesn't fail even if the tape gets a little gooey.
Note: my weepy areas are only around the very edges of where the tape sits- not near the stoma.
Laurenne, 25 Graduate from University of California, Davis. BA-Anthropology
Dx'd w/ IBS and CD in 2002. Was in flare from 2006-2010 with almost no relief from any meds I tried.
Three abscesses that are now fistulas, with three setons! All gone as of March 9
Tried: LDN- Did nothing good, Remicade- allergic, Humira- no reaction
On: Zoloft, Abilify, folic acid, b12, vitamin c, multivitamin

3-9-10: Total protectomy and Sigmoid colostomy installed. Haven't spent more than 3 minutes on the toilet since- it's fantastic! Now I'm just waiting to get regulated so I can irrigate.

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