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Ostomy Complication & Treatments

Things you must know about your peristomal skin

Are you worried about the skin around or nearby the stoma? You are not the only one dealing with this. The irritation and discomfort around the stomal skin is the most reported issue after the Ostomy. According to the bladder and bowel community, most of the patients complain about this issue.

For the patients undergone Ostomy irritation and discomfort near the stoma is one of the major issues. As you know that skin issues can reduce the stocking or adhesion property of the pouching system, it leads to leakage and other skin issues. That’s why it is very crucial to take good care of your stomal hygiene, clean it well, and selecting the right Ostomy products for you so that your stoma remains healthy and there are no complications in your life.

What is peristomal skin?

The skin which is near or around the stoma is called peristomal skin. This skin is the same as the remaining skin on the abdomen but you need to take special care of it because it is more sensitive.

How does your peristomal skin appear or look like?

In case if you have undergone Ostomy, you must know that it is very crucial to observe your stoma closely and ensure that it remains healthy, moist, and mostly pink or red, just like the inner mouth.

But whenever it is about the health of your skin, sometimes it is not very easy to achieve your goals. Typically the peristomal skin is just like the other skin on the abdomen in color and texture, there is no visible difference.

Typically, it must be even, dry and fresh, so that your Ostomy supplies can adhere around the skin properly.

How Can I identify the infectious peristomal skin?

If you observe that the skin around your stoma or peristomal skin seems different than the rest of the skin, it is better that you report it to your doctor. In this way, the problem can be diagnosed earlier and it can be treated easily and fastly. This issue just can be solved by selecting the best Ostomy products and using the right medication.

Below are some common symptoms and signs which indicate that there is an infection, irritation, or other issues in peristomal skin:

Discomfort, soring, or burning feeling near the stoma

  • More frequent problems related to leakage underneath the skin barrier or the wafer in one piece-pouching system
  • Injury scratch or bumps (like warts)
  • Changes in skin shade and rashes r in the skin around the stoma
  • A lot of moistness or weepy skin
  • Loss of blood from the stoma
  • Color changing time to time from red to dark red and then purple and black
  • Irritations or wounds like irritation at the place of the skin barrier.

How the peristomal skin infection or irritation can be prevented?

Select the perfect skin barrier

The wafer must fit around your skin properly. Several doctors and nurses can help you in selecting the best wafer for you. Always keep in mind that the size and shape of the stoma keep on changing for almost 2 to 3 weeks after the surgery while recovering. It indicates that the size of your wafer also changes from time to time.

The most crucial part is to choose a pouch that adheres with the skin and provides a very strong seal. This will aid you in avoiding any kind of leakage that may cause infection if it remains untreated it can irritate.

Choose Ostomy Skin Care accessories wisely

While taking care of your stoma and the peristomal skin

 you must choose all the Ostomy products or accessories according to the type and need of your body. There are several available options for each product. Some accessories such as wipes, adhesive removers, cleansers can help in preventing irritation, itching, and discomfort. Some accessories can help in the adhesion of the pouch properly avoiding possible leakages.

Always change the pouching system timely

Your doctor and Ostomy nurse will teach you how to change your pouch. The changing time differs for ileostomy, colostomy, and urostomy. The output from the stoma determines the weekly changing times of the pouch.

Always keep your Peristomal skin hygienic

To protect your skin from infections and discomforts you need to keep it very clean. 

How to clean the Peristomal Skin?

Typically, there are a lot of rules or steps you need to learn to keep your skin clean, dry, and healthy.

  • Mostly, these three steps are followed:
  • You must wash your hands properly before starting the process of cleaning.
  • You should use Luke warm water and a soft bath towel for cleaning purposes. Mostly there is no need for soap. In case if you want to use any soap you should consult with your doctor and it must be oil, fragrance, and chemical-free. It can cause itching or rashes.
  • In addition, you can use adhesive removers such as wipes for sensitive skin, which can help you in removing the adhesive residue from the skin
  • Always clean gently and carefully near the stoma
  • You must dry the skin properly and completely with a towel or a dryer.
  • You must avoid baby powders, lotions, creams that can prevent Ostomy from adhering to your skin.

When Do I need to call my doctor?

  • There is any change in stomal shape or color
  • Medication is affecting the output of the stoma
  • There are rashes or itching on the peristomal skin
  • A strong and foul ostomy odor

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