Stoma Helpline We’re here 24 hours a day: 0800 328 4257

Stoma Helpline We’re here 24 hours a day: 0800 328 4257

Sore Skin/Leakage

Good skin care is a crucial part of any stoma care routine, because it will help maintain a healthy skin around your stoma and assist in successful stoma bag adhesion. Broken, red or sore skin may increase the risk of leakage and further skin damage. Left unattended, the skin condition may worsen, leading to discomfort for you and difficulty in getting your appliance to stick.

Sore skin and/or leakage may be due to a number of causes:

  • Change in shape or size of your stoma – use the template to ensure that the flange fits snugly around the stoma. If you are not sure how to do this then contact your stoma care nurse who will be able to help you.
  •  Skin damage when removing the flange – an adhesive remover may help. Contact your supplier and ask for a sample to be sent to you.
  • Pancaking (this is where the faeces gets stuck at the top of the pouch and does not drop down into the pouch – This is caused by the filter in your pouch letting all of the air out and creating a ‘vacuum effect’ within the pouch. The faeces pushes itself under the adhesive and causes skin soreness.
  • Have you gained or lost weight? This will change the shape of your tummy and may change the shape of your stoma. You will need to check the size of your stoma using the template.
  • Have you any skin creases, scars or swelling around your stoma? Try using a seal or even a different type of pouch to help create a flat surface around the stoma.

Hints and tips to keep the skin around your stoma healthy:

  • Only use warm water to clean the skin around the stoma, baby wipes and soap may contain perfume which can irritate
  • Check the size of your stoma every few months, always make sure your pouch fits snugly around the stoma
  • Take your time when changing your pouch, careful removal will help prevent damage to the skin
  • Ensure the skin is dry before applying a new pouch, a hairdryer turned to the lowest setting may help
  • For men, if you need to shave around your stoma, avoid shaving creams. Instead, use clean warm water and a new disposable razor. A cardboard toilet roll tube held over the stoma may protect it.
  • There are excellent products available to help protect the skin, contact your supplier or stoma care nurse for advice.

You do not have to put up with sore skin or leakages. If you have problems please contact your stoma care nurse for advice.

Managing your stoma in warm weather

Your bag can be more prone to leaks in hot weather due to increased sweating which can affect the adhesive’s ability to stick to the skin. Hot weather can also cause the skin barrier to break down faster, leading to potential leaks. 

  • Sweating:

    Increased perspiration in hot weather can cause the skin around the stoma to become moist, making it difficult for the adhesive on the stoma bag to stick properly. 

  • Skin irritation:

    Sweat and moisture can also irritate the skin around the stoma, potentially leading to skin breakdown and making it harder for the bag to adhere. 

  • Increased output:

    Some people may experience looser, more watery stoma output in warmer weather, which can put extra strain on the seal. 

What can help:
  • Ensure skin is dry:

    Before applying a new pouch, ensure the skin around the stoma is completely dry. 

  • Consider different products:

    Products like extended wear barriers or barrier extenders can provide a stronger seal in sweaty conditions. 

  • Change pouches more frequently:

    If sweating is a major issue, changing the pouch more often can help prevent leaks. 

  • Use stoma powder:

    Stoma powder can help absorb excess moisture and create a better surface for the adhesive. 

  • Consider flange extenders:

    Flange extenders can be applied around the edges of the baseplate for extra security. 

  • Ensure proper hydration:

    Staying well-hydrated can help regulate body temperature and minimize sweating, which can help with adhesion. 

  • Store supplies properly:

    Store stoma supplies in a cool, dry place to prevent the adhesive from breaking down. 

  • Consult with a stoma care nurse:

    If experiencing persistent problems, consult with a stoma care nurse for personalized advice and support. 

By taking these precautions, individuals with stomas can manage the challenges of hot weather and maintain a secure and comfortable pouching system. 

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