Types of skin problems

Sometimes, even when you take proper precautions and ensure the best care, you may still experience skin problems around your stoma.

If you experience any of these problems, be sure to consult your stoma care nurse.

POSSIBLE SKIN PROBLEMS

Condition Causes Description Care Options

Irritant dermatitis1

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Contact with stool or urine, usually from leakage under the pouching system or between the skin barrier and stoma.

Reddened, moist, and painful skin.

  • Consult with your stoma care nurse or dermatologist to determine your treatment options
  • Review your product's application instructions to learn proper usage and self-care techniques.
  • Clean and dry your peristomal skin
  • Use Orahesive® Protective Powder on raw or highly irritated areas, and ConvaCare® Protective Barrier Wipes before applying the skin barrier.
  • Re-measure your stoma periodically to ensure you are using the correct size pouch and/or skin barrier.
  • Use ConvaTec Mouldable Technology™ skin barriers for a more individualised, custom fit.

Allergic contact dermatitis2

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Exposure to materials and chemical compounds that irritate the skin on contact (i.e.,tape, skin barriers, soap, adhesives, powders, pastes, or pouch material).

Redness and irritation in the area covered or treated by a product.

  • Consult your stoma care nurse or dermatologist to determine your treatment options
  • Alter pouching system or skin care procedure to eliminate product causing the reaction.

Yeast infections (fungal candidiasis)1

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Leakage, perspiration, antibiotic therapy, or broken skin.

Itchy, bumpy red skin. Potential infection of the vagina, mouth, or intestine.

  • Consult your stoma care nurse or dermatologist to determine your treatment options
  • Keep area dry.

Hyperplasia or pseudoverrucous lesions2

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Chronic exposure of the skin to urine.

Raised areas that vary in colour from white to light gray, deep red or brown, next to the stoma. May experience bleeding and/or pain.

  • Consult your stoma care nurse or dermatologist to determine your treatment options
  • Re-measure your stoma to ensure selection of a proper skin barrier size.
  • Use ConvaTec Mouldable Technology™ skin barriers for a more individualised fit.
  • For flush or retracted stomas, use an extended-wear convex product.

Folliculitis2

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Inflammation of the hair follicles, usually caused by a Staph infection due to traumatic hair removal in peristomal skin.

Reddened, pinpoint, or infected areas at the base of the hair follicles.

Psoriasis2

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A common skin disorder that can occur underneath pouching systems and skin barriers.

Whitish scaly patches on the palms, scalp, elbows, knees and soles and on the peristomal skin.

  • Consult your stoma care nurse or dermatologist to determine your treatment options
  • Consider decreasing the frequency of pouch changes, if possible.

Pressure ulcer1

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Excessive pressure from a stoma belt or rigid stoma care appliance.

Painful ulcers due to excessive pressure on the peristomal skin.

  • Consult your stoma care nurse or dermatologist to determine your treatment options
  • Identify and get rid of the source of pressure.
  • Follow your stoma care nurse's directions for dressing the wound and future applications of your stoma care system.

Pyoderma gangrenosum2

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Skin disease associated with inflammatory bowel diseases such as Crohn's disease and ulcerative colitis.

Irregularly shaped painful infected ulcers with red-to-purple rolled margins. These may be adjacent to the stoma or elsewhere.

  • Consult your stoma care nurse or dermatologist to determine your treatment options


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