If you experience skin problems or complications, you should always consult your ostomy care nurse straight away. However, spotting evidence early can help you catch a potential skin problem even before it develops.
Start by looking for any stoma output, either on your skin or on the back of the adhesive plate. Even if there is no direct visual sign of leakage, be aware of anything unusual, such as if the adhesive plate looks 'melted' (because the adhesive has reacted with the output.)
If you skin is red, sore and moist, maybe even bleeding a little, but you have not had any leakage, the issue could be 'mechanical'. That means your skin is simply being irritated from removing the pouch too often, too vigorously or from cleaning or scrubbing the skin to roughly.
To avoid mechanical irritation, try to be as gentle as possible, both when removing your adhesive baseplate and when cleaning the skin. Try to peel the plate off slowly, rather than ripping or tearing off. Using the other hand to hold the skin tight can help reduce stress on the skin. Adhesive removers may also help when removing the appliance.
When you swallow food or water, you also swallow a certain amount of air. Most ostomy pouches have charcoal filters built into the bag. These allow the air to be released. However, if the filter capacity cannot handle the amount of air produced, or if the filter has become wet or blocked by the output, ballooning can occur.Read more
Skin irritation around your stoma is usually caused by leakage from your ostomy pouch and the output from your stoma getting underneath the adhesive and onto your skin. It is uncomfortable and can stop your pouch from working well. Skin Irritation around my Stoma.
The skin around your stoma should look similar to the skin on the rest of your body. Immediately after you take off the adhesive, it may be a little pink, but if this doesn’t fade or if the skin is broken or damaged, your skin may be irritated.
Pancaking happens when there is a vacuum in the stoma bag and the bag sticks together. This stops the output from dropping to the bottom of the bag and can block the filter. There is then a risk that the pouch will be pushed off the abdomen.
Blowing air into the pouch before putting it on will help stop a vacuum from occurring. In addition, a drop of oil or lubricant in the pouch will help the output to get to the bottom of the bag.
Having a well-fitting product solution plays an important role in preventing leakage and keeping skin healthy. Good changing habits also helps maintain healthy skin.
By following the Apply Remove Check routine, you can make sure your appliance is more secure and dependable.
To protect your skin, it’s important to use the right technique to remove your appliances gently.
Regular appliance changes and gentle removal will help protect the skin around your stoma, keeping it healthy and free from irritation. If you are using a drainable pouch and have liquid output, it is recommended that you empty the pouch before removal.
Pull down the removal tab to loosen the adhesive from your skin. Gently remove the adhesive by rolling it step by step downwards. Apply light pressure on your skin with your other hand. An adhesive remover may be useful if you need a little extra helpPull down the removal tab to loosen the adhesive from your skin. Gently remove the adhesive by rolling it step by step downwards. Apply light pressure on your skin with your other hand. An adhesive remover may be useful if you need a little extra help
Regardless of your appliance change routine you must change your appliance if you feel itching or burning.
Having a well-fitting product solution plays an important role in preventing leakage and keeping skin healthy. Good changing habits also helps maintain healthy skin. By following the Apply Remove Check routine, you can make sure your appliance is more secure and dependable.
A quick examination of your skin and adhesive will reveal if you are in the right routine. But first you need to know which symptoms to be aware of.
It is important that you check if the adhesive is eroded and if there is presence of stoma output (faeces or urine depending on your type of stoma). Then – perhaps with the help of a mirror – examine the skin around your stoma and see if there is any redness or damage. It may be that the pattern of the irritation mirrors what you saw on the adhesive. Signs of skin damage or eroded adhesive may indicate that your appliance was not applied properly, but it could also indicate that you need to change appliance more often. You may also consider if you are using a well-fitting ostomy solution adequate for your body profile. Take a BodyCheck to find out.
Healthy skin around your stoma looks the same as the skin on the rest of your stomach.
If you have an allergic reaction, the entire area that has been in contact with the adhesive will be irritated and discoloured, possibly also accompanied by stinging, itching and burning.
Skin irritations are a common problem for people with a stoma. If you see any changes in the appearance and colour of the skin around your stoma compared to the skin on the rest of your stomach, you probably have a skin irritation.
The illustrations below show four varieties of mild skin irritations. Usually mild irritations can be resolved by yourself by ensuring you establish good changing habits and that you are using a well-fitting ostomy solution Try our Bodycheck solution for this.
To help manage mild skin irritations you may consider using ostomy supporting solutions to care for your skin.The Troubleshooter tool can help assess which solutions may be helpful for you.
The illustrations below show four varieties of severe skin irritations. Symptoms are dark blue/purple marks, weeping, bleeding, burning or itching skin around the stoma. To resolve this – it is recommended to consult a healthcare professional. In the meantime, the Trouble Shooter tool may help you with this.
Taking pictures of your stoma area can help you determine whether your skin irritation is improving.
Please note! If your skin does not improve in 7-14 days after following this advice, seek help from your healthcare professional.
Before use, always consult the ‘Instructions for Use’ document delivered with the products.
Watch our short video to see how our BodyCheck™ tool can help you discover which products and accessories match your individual body type.
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