Introduction
Living with an ostomy can present various challenges, but one of the most frustrating issues that many ostomy patients face is skin irritation around the stoma. This irritation can range from mild redness to more serious skin breakdowns, which can be both painful and inconvenient. Fortunately, with the right care, skin irritation can be prevented or minimized. In this blog post, we’ll share essential tips and best practices to help you maintain healthy, irritation-free skin while using your ostomy skin barrier.
1. Choosing the Right Ostomy Skin Barrier for Your Skin Type
Not all ostomy skin barriers are created equal, and choosing the right one is crucial for preventing skin irritation. Skin barriers come in various types, such as:
Cut-to-fit vs. Pre-sized: Cut-to-fit barriers allow you to customize the opening size, while pre-sized barriers are already designed to fit certain stoma sizes. Cut-to-fit options can provide a more precise fit, preventing leaks and reducing the risk of skin irritation caused by poor fit.
Sensitive Skin Options: If you have sensitive skin, consider using skin barriers specifically designed for this purpose. These are often made with hypoallergenic adhesives and materials that are less likely to cause reactions.
Flexibility and Comfort: Some skin barriers are designed to conform to the shape of your body and stoma. These are great for those who have an irregular stoma shape or who want extra comfort.
2. Proper Application Techniques for a Secure Seal
A common cause of skin irritation is improper application of the skin barrier. If the barrier doesn't seal properly around the stoma, it can lead to leaks, friction, or skin breakdown. Here's how to apply your skin barrier correctly:
Cleanse the Skin: Before applying the skin barrier, cleanse the area around the stoma using a gentle, alcohol-free wipe or water. Make sure to remove any residue or debris to ensure proper adhesion.
Dry the Area: After cleaning, gently pat the skin dry with a soft towel. Moisture on the skin can prevent the adhesive from sticking and may cause the barrier to lift, leading to leaks and skin irritation.
Apply Even Pressure: When placing the skin barrier, apply gentle but firm pressure to ensure it sticks securely. Pay special attention to the edges to prevent lifting, which could cause skin irritation or leaks.
3. Avoiding Excess Moisture
Excess moisture from sweat, urine, or stool can compromise the adhesion of the skin barrier and irritate the skin. Here are some ways to minimize moisture buildup:
Wear a Moisture-Wicking Layer: If you're prone to sweating or live in a humid climate, wear a moisture-wicking undershirt or pouch cover. These can help absorb excess moisture, preventing it from affecting the skin barrier.
Change the Barrier Regularly: Make sure to change your skin barrier according to the manufacturer's recommendations. For most people, this is typically every 2 to 3 days, but it may vary depending on your output and skin needs.
Use Skin-Friendly Barrier Wipes or Sprays: These products are designed to reduce moisture around the stoma area and improve the adhesion of the skin barrier.
4. Protecting Skin from Adhesive Reactions
For some people, the adhesive used in skin barriers can cause allergic reactions or skin irritation, even if they are not typically prone to sensitivities. Here’s how to protect your skin from adhesive reactions:
Use a Barrier Film or Protective Wipe: A protective barrier film can be applied to the skin before placing the skin barrier. This creates a thin layer of protection between the skin and the adhesive, preventing direct contact and reducing the chance of irritation.
Try Hypoallergenic Options: Many manufacturers offer hypoallergenic skin barriers specifically designed for sensitive skin. These barriers typically use less harsh adhesives and are a great choice if you have had reactions in the past.
5. Keep the Skin Around Your Stoma Healthy
Regular maintenance of the skin around your stoma can go a long way in preventing irritation. Here are some helpful tips:
Use Skin-Friendly Moisturizers: After removing the skin barrier, use a gentle, alcohol-free moisturizer to nourish the skin. This helps keep the skin soft and less likely to dry out, crack, or become irritated.
Avoid Harsh Products: Stay away from alcohol-based wipes or creams, as they can dry out the skin and make it more vulnerable to irritation.
Examine the Skin Regularly: Make it a habit to check the skin around the stoma for signs of redness, rashes, or broken skin. If you notice any irritation, address it immediately by changing the barrier or adjusting your skin care routine.
6. Managing Leaks and Stoma Output
Leaks can lead to skin irritation or even infections. To prevent leaks, make sure your skin barrier fits properly and is securely sealed around the stoma. If you notice any gaps or issues with your barrier, change it as soon as possible.
Use Barrier Rings or Seals: These products can help fill in gaps around the stoma, ensuring a tighter, more secure seal.
Consider a Pouch with an Integrated Filter: Stomas that have excess gas output may cause leaks if the pouch inflates. A pouch with a filter can help release gas and reduce the risk of leaks.
7. When to Seek Professional Help
If you’re dealing with persistent skin irritation that doesn’t improve with proper care, it may be time to consult your healthcare provider. They can help assess the issue and recommend alternative products or treatments to reduce irritation and keep your skin healthy.
