Skin issues

Replies
20
Views
150
Stephanie Stoma
Dec 16, 2024 12:59 am

Hey all,

I have had repeated skin issues on the same spot near my stoma. I've treated it with stoma paste and a covering of therablue covered by a small bit of extender to keep it in place before affixing a barrier ring and then a flange.

The skin eventually heals but it always comes back. This time a big chunk of skin is missing. 

I also have a hernia and do wear a belt, but could the hernia be causing the skin issue?

Any advice would be appreciated. 

warrior
Dec 16, 2024 1:34 am

Hi Stephanie..  sorry to hear of this skin issue u are having....wow..

I read some of yur prior posts.

This chunk of skin coming off

is bad news. Have you seen a dermatologist? He / she might have better ideas to treat it.

I don't know what stoma paste is . Nor why any paste would be used on irritated skin.  ?

I understand u tried the extenders, a'small piece to cover area. Those thing are super strong adhesive.  There are skin sheets also available I heard people use. Are u aware of these protective  sheets? 

There are two powders I have used bc my skin actually bled.

The wafer had black spots showing it was dried blood.

I could not have any adhesion bc of weeping skin.

 

My stoma nurse said to use nystatin powder..then a spray protectant...once healed then use the stoma adhesive powder..   There are a few out there that members swear are the best.  

U gotta get that skin healed..air dry time is needed..which means everything off allowing air to heal the wound. Maybe a nice bag less shower often would help if it doesn't burn...

Be patient. There are members who  will offer sound advice.

Mine cleared up in 1 week. Now 2 months I get 6 to 7 days wear time. The skin once bright red is now pinkish. Was purple at last change.( a week ago)

Think abt the dermatologist. 

U also went from convex to flat.

How far extended is your stoma? Sounds like it. Is not close to skin which means good news. But the leaks..something is wrong.

Sit tight. Help is on the way. 

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SusanT
Dec 16, 2024 1:35 am

Are you getting a leak in that area? Is it in a skin fold?

Some details about what else is going on at the site might help us give advice. 

Worzie
Dec 16, 2024 4:05 am

Sorry to hear this.  I feel the pain just remembering this happening a few times.

My issue was not knowing I had a new allergy to anything with alcohol in it.  My skin blisters and weeps within 48 hours of contact on thinner skin areas.  My ostomy nurse thought it was a fungal problem and suggested antifungal foot powder.  Obviously that makes it much harder to stick a wafer to it!  So, I caked it on and strapped a belt to my appliance, using pressure keeping it on,then using a nylon wrap over that.  Within a couple days it healed enough to stick adhesive on the skin.

Guessing you may have tore the skin removing the wafer. Could be your skin is still getting used to the appliance.  I didn't look at your previous posts to learn more.

I'm still getting used to demanding non alcohol whenever I get a blood draw or vaccination. Even when I get my eyes checked, I have to wear a headband as they clean everything with alcohol!

Thank God I am not allergic to drinking alcohol! 🍻

Beachboy
Dec 16, 2024 6:34 am

Take pictures and post them here.  Will make it easier for us to understand your situation.

 

 

How to Manage Ostomy Leaks with LeeAnne Hayden | Hollister

Play
oldtimer
Dec 16, 2024 4:13 pm

Hi, lest some of you think that I am only involved in social talk, I just want to give some input about the latest problem pertaining to skin I have.

When I was in the hospital 3 years ago, people constantly remarked on what great skin I had on my body. I had no idea why they did.  Well, this not having been a good year for me, worse than the two prior years, about 5 weeks ago I developed some lesions on my body that looked like light scratches. I told my family that we , indeed, must have a malicious ghost in the house, ergo the scratches.  Well, these lesions have become  permanent it seems, and have grown in size all over my back. When  the APN who comes to the house for my husband, took a look at it, she was taken aback and thought, remember, I am not her patient, it was auto immune disease. I do have and had for years, constant and daily stress, that eventually my good constitution has to give deference to.  I called my internist and he thought it might be something else, and prescribed an ointment.  When my son brought the ointment home, I immediately after reading just a part of the side effects, put it away. I don't aim to get serious problems putting on some ointment. So, we put pure aloe on it and it seems to be kept at bay, but is still there. I suspect that it also is exacerbated by friction between my t-shirt and bed clothes because I cannot sleep restfully.  Ointment is called Triamcinolone Acetonide Cream USP, and could have side effects of ......... I can't possibly list some of the things here, it is too long and diverse. But on the accompanying fact sheet, it stated that covering up the area where the ointment was applied could cause a problem with too much absorption.  I discarded said sheet and cannot directly quote from it, but how to i avoid not covering up something on my back?  No, I have not called my doctor back, and I have not been able to leave the house since the beginning August.

Well, to make a long story short, has anyone else experienced this? 

warrior
Dec 16, 2024 4:43 pm
Reply to oldtimer

Did u..or can u see a dermatologist? 

Note that side effects have to be listed on medication to cover the manufacturers ass. In the event of serious side effects, u were warned.

That how it plays out in court. A doctor friend told me this in confidence. U may have nothing to worry about but then side on the edge of caution- see a dermatologist for 2nd opinion.

I hope u get a good answer from a dermatologist. He/ she knows skin. 

Google one for reviews  and see how that works out but don't be too quick to discard viable treatment. 

I think it's a safe bet saying most of us do have autoimmune disease issues. So others may chime in. Cut out a t shirt. The back leaving skin exposed to the ointment perhaps? Even a few a hours a day might help. 

 

warrior
Dec 16, 2024 4:43 pm
Reply to oldtimer

Did u..or can u see a dermatologist? 

Note that side effects have to be listed on medication to cover the manufacturers ass. In the event of serious side effects, u were warned.

That how it plays out in court. A doctor friend told me this in confidence. U may have nothing to worry about but then side on the edge of caution- see a dermatologist for 2nd opinion.

I hope u get a good answer from a dermatologist. He/ she knows skin. 

Google one for reviews  and see how that works out but don't be too quick to discard viable treatment. 

I think it's a safe bet saying most of us do have autoimmune disease issues. So others may chime in. Cut out a t shirt. The back leaving skin exposed to the ointment perhaps? Even a few a hours a day might help. 

 

warrior
Dec 16, 2024 4:43 pm
Reply to oldtimer

Did u..or can u see a dermatologist? 

Note that side effects have to be listed on medication to cover the manufacturers ass. In the event of serious side effects, u were warned.

That how it plays out in court. A doctor friend told me this in confidence. U may have nothing to worry about but then side on the edge of caution- see a dermatologist for 2nd opinion.

I hope u get a good answer from a dermatologist. He/ she knows skin. 

Google one for reviews  and see how that works out but don't be too quick to discard viable treatment. 

I think it's a safe bet saying most of us do have autoimmune disease issues. So others may chime in. Cut out a t shirt. The back leaving skin exposed to the ointment perhaps? Even a few a hours a day might help. 

 

Beachboy
Dec 16, 2024 7:21 pm
Reply to oldtimer

Hello,
My wife has this.  Started about 2 years ago.  She was getting red, raised scratches on her back, and numerous raised red blotches on her chest and stomach.  It looked really bad.  After taking off her bra, an hour later her skin looked normal.  We thought she was allergic to .....something?  Her tongue would swell up slightly too.  I bought a couple of Epi Pens just in case she went into anaphylaxic shock. 

After many visits to dermatologists and an allergist, it was determined she has Dermatographia, or skin writing. Dermatographism, dermatographic urticaria are other names for dermatographia.  It's fairly common.  

 It's a harmless skin condition.  Raised marks (wheals), similar to hives appear when your skin is rubbed (friction) or has pressure on it.  

Dermatographia welts don’t hurt, but they can be itchy.  Usually fade after about 30 minutes. 

Dermatographia symptoms vary from person to person.  Symptoms may include:
• Raised, discolored (red, pink, purple or skin color) lines.
• Swelling.
• Inflammation.
• Hive-like welts.
• Itchy skin. 

Dermatographia may be an autoimmune disease.  Medical researchers think it might be an inappropriate response from your immune system.  Your immune system registers scratching or pressure as an allergen.  It sends the chemical histamine to the area to remove the allergen from your body.
Dermatographia isn’t contagious, and symptoms usually fade after months or years. 

It's been 2 years for my wife.  Her symptoms are still strong.  She had to get bra's that have no elastic.  Wear loose clothing.  Stop wearing her neck chain with a cross pendant on it.  She can't sit back in chairs.  Sleeps on her side with loose pajamas.  Has to be careful washing and showering.  Rubbing soap on skin will cause a flare up.  Also has to dry off carefully, no rubbing with the towel. 

She takes lots of antihistamines.  Up to 4 a day.  This helps prevent itching and some of the welts. 
A prescription medication is available, Cromolyn, which helps block allergic reactions.  But she has not tried it. 

Simple test.  Use a tongue depressor or popsicle stick.  Press into the skin, create a 3 to 6 inch line.  Wait to see if a raised welt appears.  

TerryLT
Dec 16, 2024 10:33 pm

Hi Stephanie, from a fellow B.C.er!  If your skin irritation is around the base of your stoma, I would suggest the thing that worked best for me.  It's made by Salts, which we Canadians have access to, and it's  a barrier ring infused with aloe and it works wonders to clear up badly irritated or raw skin, which is what I had.  The product number is SAR followed by the size of ring you want.  I use them all the time, and not only have they cleared up my skin issues, they stick so well, they have also extended my wear time by a couple of days.  Salts will send you samples if you ask.  Good luck.

Terry

oldtimer
Dec 17, 2024 1:05 am
Reply to Beachboy

Thank you, Beachboy, that is most helpful to me.  I appreciate the lengthy explanation.  You know, if one goes it alone it really is harder than knowing that there are other people with, especially in my case here, that come up with the same thing.  I just don't have  much trust in doctors, although  I like my internist, but that does not make him  a top  physician.  Forget the oncologist, did not get much out of him after the number of visits to him and after the cancerous colon resection.  I  know they don't have an ostomy nurse in this town, they may have one in the town I had surgery.  Again, thank you.

oldtimer
Dec 17, 2024 1:13 am
Reply to warrior

Thank you, warrior, for you input.  I wear a t-shirt to bed. No buttons, least constriction, no long sleeves to wrap around you, white cotton, easily washed in hot water, no bleach.

Yes,  I am aware of the reason one puts all of those possible side effects in small print on paper when one picks up an rx.  But, just as I say, I do not need more problems, I need fewer.  I believe that there is a dermatologist in town, but I have never been to one in my life, and, dumb me, want to keep it that way.  Again, for other reasons owing to what my body is doing to me, have been unable to leave the house to go anywhere.

As to the tip with the t-shirt, well, I don't know.  I am usually very cold, owing to anemia. That is not what I could stand. Actually, the normal clothes I wear during the day don't bother me. I just get these itching fits and worry the lesions with their scabs.

warrior
Dec 17, 2024 1:22 am
Reply to oldtimer

I wear a t shirt too. But that's to keep my ileo bag somewhat in check to my tummy. I find it helps.

I understand yur reasons for not seeing any more drs or the meds.

Let us know how yur doing without them. Tough cookie, you. 👍

oldtimer
Dec 17, 2024 1:26 am
Reply to warrior

Indeed, I am a tough cookie.  Sadly,though, even the toughest cookie crumbles when continuous pressure is applied.  I also want to remark that I was  of the opinion that you might have been a military man (and you still could have been), but have come to the conclusion that what you have been trough with the knife  trade made you choose that name.  Of course, that is only one woman's opinion. (smile)

warrior
Dec 17, 2024 2:20 am
Reply to oldtimer

A smart cookie indeed  Yes,  the knife options..and by-product of long term steroid use of prednisone.no military exposure. But haven't we all had our battles? And gone through war in some shape or form? 

Stephanie Stoma
Dec 17, 2024 7:11 am
Reply to warrior

Thanks so much. The process of the  powder I used is called crusting? By my stoma nurse. I like the idea of a skin barrier sheet. I'll ask about that. 

Thanks so much for your help!

Stephanie Stoma
Dec 17, 2024 3:57 pm
Reply to SusanT

No leaks since I switched to the convex flange and use extenders.

SusanT
Dec 17, 2024 4:48 pm
Reply to Stephanie Stoma

Great news!

oldtimer
Dec 17, 2024 9:46 pm

Stephanie, I truly apologize for hogging your thread.  It's just that my first thought belonged to the topic "skin issues". That's as far as I got. So, please, don't mind this old woman.

oldtimer
Dec 17, 2024 9:49 pm
Reply to warrior

5 foot 2

And eyes of blue (well, they used to be)

I am a tough cookie

And I know you are too.