Case sharing after ostomy

The common complication after ostomy is the problem of the skin around the stoma. Due to the different characteristics of each person's constitution, the use of a small number of specific constitutions will have an allergic effect on the skin around the stoma. Today I will share with you a case of allergy after an ostomy, let's take a look together.

The picture below shows skin allergies around the stoma:

Clinical manifestations:

 The skin is mostly red and warm, usually in the same shape as the stoma chassis. If the allergic reaction is severe, skin itching, blisters, or even a burning sensation will appear. In addition, some friends with stomas have allergic reactions to the adhesive tape due to the sticking of the stoma chassis for too long, such as sticking for more than 7 days, coupled with the hot weather and sweaty skin.

Allergic cause:

1. Ingredient allergies: Chassis, ostomy bag, leak-proof ointment, skin care powder, belt, and skin cleanser can all become allergens

2. For example, patients with idiosyncratic constitutions are allergic to the glue of the stoma chassis; patients with allergic constitutions are allergic to nursing products containing alcohol.

What are the symptoms of allergic dermatitis?

1. There are abnormalities in the skin around the stoma, and the shape of the dermatitis is usually consistent with the shape of the skin in contact with the allergen. As shown in the picture above: the part of the skin that is close to the stoma chassis is allergic.

2. Skin erythema, papules, edema, peeling, blisters, pigmentation, the severity is consistent.

3. Local skin itching and burning sensation.

4. Rash ulceration and exudate are obvious.

5. When the allergic reaction is severe, rash and itching can be seen on other parts of the body.

How to deal with stoma skin allergies?

1. The principle of treatment of allergic dermatitis is to find out the cause of allergies and get rid of allergic items.

2. Keep the skin around the stoma fresh, clean the skin with normal saline, and dry it every time you replace the stoma chassis, apply skin-protective s spray on the skin around the stoma, and wait for about 20 seconds, the protective agent It will naturally form a layer of protective film. You can use hydrocolloid dressing first. If the skin is damaged, you will feel a little tingling when you apply it. It is recommended to use Skin Protective Powder first, and then attach the stoma chassis, which can better protect the stoma. the skin around the mouth.

3. For those with severe allergies and itching in other parts of the body, it is recommended to take antihistamines orally to relieve itching symptoms.

4. Other allergies show that there is a circle of erythema on the edge of the cut opening of the stoma chassis. Considering the allergy to the leak-proof ointment, the anti-leak ointment is no longer used for treatment. A small number of patients are allergic to belts and have itchy skin symptoms. It is recommended that when using an ostomy belt, a cotton handkerchief or towel should be placed on the inside of the belt to isolate it from skin contact and reduce friction.

How to prevent allergies?

before use:

For example, newly purchased stoma products can be Patch Tested, which is a simple and reliable method to detect allergens. Cut the stoma chassis into 2cmx2cm size and paste it on the curved side of the forearm or behind the ear, wait for 48 hours, and then peel off without skin reaction, it is negative. If the redness of the skin does not disappear or is severe after 24 hours, it is an allergic reaction.

After use:

1. Choose the correct cleaning method, do not use iodophor, alcohol, and other organic solutions for cleaning. Just wash with weak acid bath liquid and ordinary water

2. Regularly replace the ostomy chassis, and choose suitable and regular ostomy bags and ostomy aids. In principle, try to use ostomy bags with protective glue.

3. Understand the history of allergies and medications. If red spots, erythema, and papules appear on the skin around the stoma, accompanied by itching, different types of stoma bags and stoma products should be replaced in time.

For more information on Innomed®Skin Protective Spray refers to the previous articles. If you have customized needs, you are welcome to contact us; we will serve you wholeheartedly. At Longterm Medical, we transform this data by innovating and developing products that make life easier for those who need loving care.

Editor: kiki Jia

Date: February 3, 2023