Noticing a problem with your stoma necessitates you to discuss your issue with an ostomy care nurse as soon as possible. Fortunately, a wide array of products is available to fulfill the requirements of every ostomate out there. It means that you have to make sure to find the right product. In this article, we will discuss the problem and its solutions.
Ideally, the pouch-changing should be the simplest process. Nonetheless, any problems such as leakage, fear of leakage, and complications can make the individuals restrict themselves. It can lead to an isolated life. In some cases, the stoma fails to sit flush with the surrounding skin. This problem is known as a peristomal dip or moat. This problem can lead to difficulty applying the ostomy pouch to the peristomal skin. It can result in leakage, which can cause several skin complications.
There are several reasons for the formation of dips and creases. If your surgery was performed in an emergency, your nurse might not have sufficient time to mark an appropriate site for the stoma. Certain technical difficulties during surgery may also result in the abdominal skin becoming uneven. In some cases, the natural shape of the abdomen has several dips and creases.
What is a peristomal moat?
The word peristomal refers to the area around the stoma. A moat is a hollow area of the skin. The peristomal moat refers to the area that includes a part or all of the peristomal skin area. Due to the gap produced by the moat, the base of the ostomy pouch fails to adhere to the skin. One of the solutions in this regard is to use a washer or half of the washer. This product fills the gap produced by the moat and provides a flat surface for the ostomy pouch’s baseplate. You can discuss with your ostomy care nurse regarding the washer that fits your requirements.
What is a peristomal skin crease?
There are usually some naturally existing creases on the abdomen. These creases, however, become problematic if they contain a stoma. In such a scenario, it becomes crucial to use the right technique when applying the ostomy pouch. You may not be able to smooth out some of the creases. In such cases, you will need to use a convex ostomy pouch. The baseplate of a convex ostomy appliance has an outward curve that goes against the peristomal skin. It presses the skin to even it out along with the crease. You will, however, have to get a prescription from your ostomy care nurse or doctor before deciding to use a convex ostomy pouch.
What is a skin dip?
Skin dips are the contours that become distorted during surgery. There can be more than one dips around your stoma, and each of them contributes to added difficulty in placing an ostomy pouch.
You can use paste along with other accessories to smooth out the skin to make it ready for the ostomy pouch. You can also discuss the type of ostomy pouch with your nurse. For instance, a two-piece ostomy pouch is generally more suitable for problematic stomas. The nurse will recommend supplies and accessories to make ostomy management an easier process.
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