Residue from Eakin seal

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mimijo575
New Member


Date Joined Jul 2011
Total Posts : 2
   Posted 7/8/2011 7:18 PM (GMT -6)   
Hi folks -- a newbie here, both on the forum and to ostomy care. I'm helping my husband with his new ileostomy after rectal cancer surgery and we have found that the Eakin seals help enormously to shield the skin; he was getting very excoriated before.

We have been instructed by the ostomy nurse to change the wafer and seal every 2 days. The procedure we were told to use when applying the new wafer is: powder (antifungal for now), Cavilon skin prep, repeat, then Eakin seal, then wafer.

My question to all you experienced Eakin Seal users is: how much of the gunky residue from the old seal surrounding the stoma is it necessary to remove? I have tried to pick much of it off but it causes him a lot of pain. If it is necessary to remove most of it, is there a non-stinging solvent to use? I use Unisolve to get the tape border around the wafer off -- but it has isopropyl alcohol and would sting like crazy on the inflamed area around the stoma.

Thank you very much for any advice you can give.

Blueheron
Veteran Member


Date Joined Feb 2010
Total Posts : 720
   Posted 7/8/2011 10:40 PM (GMT -6)   
You don't have to worry about getting it all off. Just get off the big chunks, or any bits that seem to have stool on them. I find that a dry paper towel works well to pick most of it off gently, as it tends to stick to the paper a bit. It is much better to leave some on than to irritate your skin trying to remove every last piece.
-39 years old
-Officially diagnosed with UC in 2006, though had symptoms since 1999.
-Had mild/moderate symptoms continuously until severe flare in autumn 2010 which required 2-week hospital stay
-Took Asacol, Rowasa, Canasa and Prednisone to manage flares but meds stopped working
-Tried 1 dose of Remicade but had excruciating joint pain and discontinued
-Had permanent ileostomy surgery 11/8/2010

betsaronie
Regular Member


Date Joined Oct 2007
Total Posts : 318
   Posted 7/9/2011 12:01 AM (GMT -6)   
As he heals, you'll be able to scrape more of that residue off without it hurting, but like blueheron said it's not necessary. Plus, once he can wear the wafers for longer, the residue will be more "broken down" so it will also come off easier. When i got 7 days from my colostomy, it all came off in like 2 swipes. my every other day with my ileostomy was too much of a hassle to get anything that wasn't super soft and gooey off so I only removed it all every 3rd change. the Unisolve works really well, but obviously you'll have to wait until his skin isn't broken anymore to use it. (Although I used this and don't remember it ever burning...) yes there are non alcohol based adhesiver removers. the only one I can think of is Allkare, which i believe is Convatec's. Who's your supplier? If you use edgepark, (or even if you don't) you can request a catalog and go through it too find some other ones. I think Torbot might have one too, but i know they are out there! Hope he heals up quick!
-diagnosed with UC Dec 2006 at 22
-allergic or intolerant to all 5ASAs, sulfa and 6-mp
-emergency transverse colostomy on 9/13/10 from perforated colon
-J-pouch surgery step 1 of 2 3/21/11
-Takedown 6/13/11

mimijo575
New Member


Date Joined Jul 2011
Total Posts : 2
   Posted 7/9/2011 6:05 AM (GMT -6)   
Thanks, friends, for the good advice. It's been trial and error with the equipment and system so far but we seem to be getting close to a setup that works.

Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 7/9/2011 6:46 AM (GMT -6)   
If it is not leaking and working properly ask the nurse if he can go another day or two to allow the seal to breakdown more?  From what I have read and our experience if the appliance is working properly why change it so soon unless the nurse is there checking the skin and making sure there are no problems developing.  I think by weeks 2 and 3 hubby was going 3-4 days.  The Eakin seals definitely left more residue...the Hollister Adapt rings worked as well and seemed to leave less behind.
 
Does he need a convex wafer possibly and not need a seal?  In the beginning my husband used seals and paste along with his convex wafer due to a crease.  He put on some weight and the crease kind of filled out and he is now using a convex moldable wafer with no seal or paste which is now working for him but that wasn't until after 3+ months after surgery that his stoma and surrounding area changed and filled in.
 
Although it is not rocket science there is a definite learning curve and trial and error.  What you are using today may need to change over time and the different steps now may lessen too to find the right appliance and set up that works the best.  Can be a tad overwhelming at first and frustrating.  Tons of great advice and support here and remember the companies are very cooperative in sending out samples and the reps are very knowledgeable to deal with I have found too.
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