What should I do if my skin is allergic around the stoma?

How to deal with skin allergy?

There are many allergens in life, and allergies that are common to ostomy friends may be allergic to ostomy. To put it simply: the ostomy of the idiosyncratic is allergic to the ostomy contact, which is characterized by: itching around the stoma, and erythema, papules and other symptoms in the skin contact area, the scope is the same as the shape of the ostomy, called For allergic dermatitis.

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What are the symptoms of allergic dermatitis?

Evaluation

1. The location of dermatitis is limited to the contact area of allergens. The shape of dermatitis is usually the same as the shape of the skin contact with allergens (for example, erythema appears on the skin close to the stoma, which is generally allergy to leakproof cream).

2.skin erythema, papules, edema, peeling, blisters, pigmentation, the same degree of severity, local skin itching and burning sensation.

3. When the allergic reaction is severe, rash and itching may be seen in other parts of the body.

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Staging

The acute phase is mainly characterized by: skin erythema, edema, desquamation, and keratinocyte vesicle-like changes.

The main manifestations of the chronic phase are: skin fissures, mossy and hyperkeratosis

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How to deal with allergies?

Clinical care advice

1. The principle of treatment for allergic dermatitis is to find the cause, remove the contact, and actively treat the disease. 2. Wash the skin around the stoma with water, and the gauze absorbs the percolate. After immersing the new healing liquid with sterilized medical gauze, apply it to the damaged area of dermatitis, three times a day. When the wound surface is gradually reduced, the gauze can no longer be used to directly drop the medicine into the affected area.

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3. Apply steroids to the skin before applying the bag.

After washing and drying the skin around the stoma, apply 20mim, then wash the surrounding skin with water, dry and stick the bag.

4. If the skin lesions are severely exudate, hydrocolloid dressings can be used to help the fluid management. Anti-leakage cream and skin care powder are routinely used.

5. Avoid contact with allergens and replace the ostomy brand.

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6. Oral antihistamines are recommended when severe allergies are accompanied by itching in other parts of the body.

7. Other allergic conditions are characterized by a red spot on the edge of the opening of the stoma chassis. Considering allergies to the leak-proof paste, the leak-proof paste is no longer used in the treatment. A small number of patients are allergic to the belt and have itchy skin. It is recommended to use a cotton handkerchief or towel on the inside of the belt when using the belt to isolate the skin from contact and reduce friction.

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8. When checking skin allergies, you need to ask the patient if there is any skin disease before. Stop using antihistamine for 2 days, stop taking glucocorticoid for 2 weeks, and then perform patch test to identify allergens. (Cut the stoma chassis into 2 2cm × 2cm size is attached to the forearm or abdomen for 48h, and no skin reaction is negative. After 24h, the skin redness does not disappear or is serious, it is an allergic reaction).

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How to prevent allergies?

1. Clean the skin around the stoma with water or warm water. Do not use organic solutions such as iodophor or alcohol for cleaning.

2. Choose suitable, regular ostomy bags and ostomy aids. In principle, use ostomy bags with protective glue.

3. Understand the history of allergies and medication history. If there are red spots, erythema, papules on the skin around the stoma, and itching, it is necessary to replace different types of ostomy bags and ostomy products in time.