How to care for moisture-related dermatitis around the stoma ?

Moisture-related dermatitis around the stoma is clinically characterized by erythema or inflammation of the skin around the stoma. Most people with stoma will have peri-stoma complications, and it is also a relatively common stoma complication. Keeping the skin around the stoma healthy is all about knowing how to prevent exudates from seeping into the skin. The goal of good stoma management is to prevent abnormalities in the skin around the stoma and, if they occur, to minimize their effects. This article will show you how to prevent moisture-related dermatitis around the stoma.

Its clinical manifestations are mainly erythema or inflammation of the skin around the stoma, often accompanied by breakage. The ileostomy excrement is thin, large in volume, rich in digestive enzymes and alkaline. Once the fecal water comes into contact with the skin, it can cause erythema within 1 hour, and skin erosion, bleeding, tingling and itching within a few hours. symptom. Therefore, the incidence of moisture-related dermatitis around the ileostomy is slightly higher than that of the colostomy.

1. There are two main influencing factors of moisture-related dermatitis around the stoma :

Stoma factor:

For example, the stoma is close to large joints, drainage tubes, skin folds when the patient is sitting, etc., and the skin around the stoma is relatively loose, with obvious depressions or bulges, which will make the stoma chassis difficult to fit with the skin or easy to loosen and fall off . If the stoma is relatively low and flat, the discharged fecal water is not easy to collect into the ostomy bag, which will cause the fecal water to leak into the chassis and the skin to form moisture-related dermatitis.

Nursing factors:

Trimmed stoma chassis is too large, the gap between the stoma and the chassis makes it easier for fecal water to leak into the skin , the skin around the stoma is not cleaned well or the skin is wet and attached to the chassis, the chassis is easy to loosen and fall off , and you will be discharged from the hospital for a period of time. The shape of the posterior stoma changed and became low and flat, the flat chassis was not replaced with a convex chassis in time, and the skin was soaked in fecal water if the chassis was not replaced in time.

2. How to prevent moisture-related dermatitis around the stoma ?

The first is to minimize skin exposure to urine and feces.

①Choose suitable stoma products. Longterm Medical Skin Protective Powder and Skin Protective Spray can be applied to dry the stoma skin surface prior to use of the ostomy bag. The main purpose of skin protectants is to prevent or reduce water, Penetration of chemical and biological stimuli. Make the adhesive stoma chassis fit better with the skin.

②It is advisable to use an ostomy bag made of soft, moisture-wicking fabrics at the skin folds . Products with soft, moisture-wicking fabrics are recommended.

③It is recommended to use the Longterm Medical Skin Protective Ring, which can prevent the stoma exudate from the surrounding skin.

3. How to correctly use the order of stoma care products?

When performing stoma care, use stoma skin care powder after cleaning the skin around the stoma → skin protective film (to be dry) → anti-leakage ring or anti-leak cream to fill the gap between the stoma chassis and the stoma → paste the chassis , Upper ostomy pocket.

4. The treatment measures for moisture-related dermatitis around the stoma :

If the degree of moisture-related dermatitis around the stoma is mild, with only redness, pain, and itching, a structured skin care regimen can be adopted to shorten the stoma care interval (maintenance once every 1-2 days), which usually improves in about a week. Longterm Medical foam dressings are recommended if the exudate is high . It can effectively maintain a moist wound base, and can absorb excess exudate to create the best moisture balance. If the moisture-related dermatitis around the stoma is severe, and the skin is damaged in addition to redness, pain, and itching, it is recommended to visit the local stoma wound clinic for maintenance.

For more information on Innomed® Ostomy pouch , refer to the previous articles. If you have customized needs, you are welcome to contact us; we will serve you wholeheartedly.

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Editor: kiki Jia

Date: September 14, 2022