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Hi Everyone! Need Help - Persistent Rash Under Flange

Janet Mitchell

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Hello Everyone!!

I am so sorry to have neglected my blog. It has been a CRAZY year, and hopefully I'll have time now to regularly update you as to Charlene's status.

For now though I have a quick question: Does anyone have any experience with a persistent rash under your flange? I have to admit that I have prided myself on how well I have been able to keep Charlene's skin under her flange looking. I've used a combination of things to quickly put to rest any rashes that have popped up. I always assumed the rashes were yeast infections and have treated them as such. This doesn't respond to anything (plus extraordinary measures - like taking a diflucan tablet once a day for a month, or using lotrimin powder under the flange consistently). I'm starting to wonder if she's become allergic to the adhesive (and we already use the Hollister flanges with the non-allergenic adhesive because she WAS allergic to the band-aid-like adhesive). Any advice would be appreciated. She has an appointment in two weeks with the wound care nurse, but I'm hoping someone here will have some advice for us.

Other than the rash under her flange, Charlene is in fairly good health, and takes a maintenance drug called Budesonide, which is a steroid that treats the inside of her intestine (the parts she has left!). She still suffers occasional symptoms like stomach aches, back aches and nausea but they are few and far between for the most part.

Thank you!

Janet




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Janet, I sometimes get small red welts/ bumps underneath my flange.  They're caused by bacterial growths on the skin and in the skin pores.  They HATE heat.  I find that after I remove my flange, shower, clean, shave and towel (or paper towel) dry the peristomal area, if I take a hair dryer on high heat to the affected area  -This hurts a bit but Charlene will get used to it - the redness recedes and the skin is left pretty much free of blemishes.  I apply hydrogen peroxide to the are, blow dry it again and apply a new flange.  Works for me.  Still, probably wise to check with your doctors before trying it.  Best, Laurence.

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Hello Janet. Hope Charlene is well otherwise? I would also suggest that in the long term a change of product may help. Is she getting any leakage problems that might be burning the skin? If so, the leakage problem meeds solving before the skin else it'll never get solved. 

I can highly recommend Trio's Niltac and Silesse problems. When used in combination they helped alleviate a 14 year old skin rash that I had under the flange due to having to shave the area and the pores/folicals getting affected. 
http://www.ostomyland.com/ostomyland/2011/07/28/oland-editorial-1-trio-silesse-niltac/
 

She could also try a barrier cream on the area to help cool the skin and protect it over the coming days with the flange on. 3M's Cavilon is regarded as one of the best in the industry. 

Good luck and happy new year to you all there. I hope you're not freezing off your proverbial's in the polar vortex. :) Brrrrrrrrr. 

Take care, 

Jason.

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Hi Jason!!

 

I'm so thankful for all of the advice everyone has given us. I will absolutely try the products you've recommended if it comes to that. For now the rash is much better. And yes, Charlene is well, otherwise. She is on a maintenance dose of Entocort (budesonide).

 

The site is just gorgeous, Jason...you've done so much to it! What a fabulous thing you've created and made so wonderful over the years. I'll never forget finding you on the web while sitting in the dark in the hospital next to Charlene's bed the night before her first surgery, desperate for help...it brings tears to my eyes just thinking about it. Ostomyland (and Ostomy Secrets)! Just the other day I recommended your site to someone who has a family member that recently had a colostomy and urostomy. Anyway, it's so lovely to hear from you and re-connect a little bit. I'll let you know how Charlene makes out.

 

Much love,

Janet

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Stoma Seal! I was just telling someone else about it. I don't use it I use Aqua Seal, but I know many people with allergies that cant live without them. Its costa medical. google them. Not expensive. Salts Healthcare in the UK also sends free products if you contact them.

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Thank you so much for your reply! We have finally solved the rash problem with a new type of flange that Hollister has recently come out with called "ceraplus". This flange has not only healed her skin problem, she doesn't require an active seal to put over it to keep it on longer! This flange is a new product so doesn't come pre-cut yet. We bought Charlene a leather punch that she easily cuts the flanges with ahead of time, before she needs them. So she uses a prep wipe and a flange! Can you imagine? All with no rash, no powder, no barrier, and no active seal. It's a wonderful thing.

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