a little trouble with stoma

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Regular Member

Date Joined Nov 2010
Total Posts : 422
   Posted 5/11/2011 4:00 PM (GMT -6)   
Thought all was going well with my previous change.....so, I waited for day 5 (today)..well, noticed a little blood in my bag this morning which went away..then, when I changed this afternoon, I noticed my skin wasn't looking so good....
Not sure why the change from the last time.....the only thing done differently was that the nurse had me put the cavalon skin prep on ...though, I don't think that explains everything....I haven't really had any leaks, and the skin is irritated just around the stoma....
Basically, I've got an eakin seal under a hollister cut-to-fit new image wafer...and, that's it..besides the skin prep....
waiting on a moldable wafer from convatec...wonder if I should try the moldable from hollister?
Anyway, any ideas would be great....

Veteran Member

Date Joined Feb 2011
Total Posts : 1059
   Posted 5/11/2011 5:17 PM (GMT -6)   
Could be a possible skin reaction to the cavilon, you may be allergic. I would try it on an area of skin away from stoma and tape a peice of eakin seal over the top and leave it for a few days and see if any reaction.

You can get small amount of blood from the stoma itself it is gets irritated or rubbed by the bag, it is normal and only a concern if you see larger amounts or it is coming from the bowel rather than skin of the stoma.

It may take a few attempts of different wafers and bags until you find the combo that works for you. I would recommend cutting little bits of the wafers and sticking them to skin for few days and see of you have reaction first before trying them around stoma, just in case you are allergic to the adhesive.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.

Regular Member

Date Joined Nov 2010
Total Posts : 111
   Posted 5/11/2011 6:37 PM (GMT -6)   
Have to agree with stripey. I have a RAGING allergy to the cavilon barrier wipes; they caused crazy skin irritation for me. Wipe one somewhere on your leg or something and make sure you don't break out before putting it on your belly again!
Diagnosed with UC in 2007
Flare in 2007 causing anemia requiring blood transfusions, eventually controlled by asacol and 6-MP.
Flared again in 2009 as 6-MP lost effectiveness, went on TPN and received more blood. Started Remicade, which induced remission.
Flared 2010; Remicade no longer effective.
Had 1st surgery of 3 step j-pouch at CC on 1/19/11. 2nd slated for April, and j-pouch in July!

Regular Member

Date Joined Nov 2010
Total Posts : 422
   Posted 5/12/2011 4:41 PM (GMT -6)   
THANKS!  What the Dr.'s/nurses don't tell you!!!!  idea
I see the nurse tomorrow and will tell her all was well 'til the cavalon wipes....

Regular Member

Date Joined Feb 2009
Total Posts : 402
   Posted 5/13/2011 5:28 AM (GMT -6)   
I have had problems with the skin around my stoma being very irritated, when this is the case I use a barrier wipe or spray to protect the skin, and also a white powder which helps to heal up where the redness is. If the cause of yours is an allergy then I don't know how much this will help but if not perhaps you could try these. And yeh I was a little worried when I first saw a little blood but it was coming from where it was irritated, or if you've 'over cleaned' the stoma it can cause it to bleed a little. All the best.

24 y/o female from UK dx with UC (Proctitis) Jan 08. Never fully been in remission, resistant to all meds apart from Pred and Infliximab. Also dx with IBS. Proctocolectomy+pouch surgery w/ temp loop ileostomy 9thApril11.
Currently taking daily:Tramadol, 20mg MSR (slow-release Morphine), 40mg Loperamide, Cyclizine, 60mg Seroxat (anti-anxiety), Multivitamins+Iron

Veteran Member

Date Joined Oct 2010
Total Posts : 776
   Posted 5/13/2011 7:03 AM (GMT -6)   
me too!! i was allergic to cavillon wipes.. my nurse swore by them but they didn't agree with me. I had a huge spotty rash on my skin under the wafer and it was very sore and itchy. Good luck
Sarah - 38 year old mum of 2 boys, competitive runner/triathlete, health and fitness writer

June 2010 - Peritonitis caused by perforated diverticulitis. Emergency surgery.
August 2010 - Sigmoid colectomy and temp ileostomy
October 2010 - Ileostomy reversal - but didn't go well and struggling since.
Currently - dx colonic dysmotility April 2011. Currently taking Prucalopride 2mg p/d

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 5/13/2011 10:15 PM (GMT -6)   
i would put the rash on the wipes, and like was already said, the stoma itself can bleed easily. i have managed to scratch it during changes and end up with what looks like tons of blood in the bag. nothing to worry about, if its shortly after you did a change, or if you ran into something that bumped your stoma
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

Veteran Member

Date Joined Oct 2008
Total Posts : 938
   Posted 5/15/2011 8:37 AM (GMT -6)   
Also, make sure you are measuring your stoma if doing cut to fits (I think I remember you are still fairly fresh out of surgery, yes?) After six weeks I decided I didn't need to anymore, but when I went up to CC for my follow up I discovered a good amount of red skin around the stoma when they took the bag off. Turns out my stoma had shrunk again and I was cutting too big. This last change I had almost no red at all thanks to a good fit.
UC dx 2/08

Done with the drugs. Step 1 (of 3) J-pouch surgery 3/22/11, Steps 2 & 3 TBD
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