I'm interested in taking the CWCA exam, but a friend of mine mentioned that the WCC is better. What is the difference between the two?
Can You Help?
- Fri, 5/13/11 - 2:21pm
- 10 Comments
- 1121 reads
I have developed what looks like a heat rash under my urostomy wafer. I use Nu-Hope one-piece pouches. This has only happened two other times in the 40 years I’ve had an ileal conduit. Once the rash cleared with the help of a doctor and nursing care and over-the-counter Maalox and the other time one Diflucon pill cleared the rash. This time nothing is working. I'm going through a box of 10 bags in no time. I'm upset and miserable because I'm not able to heal and it is affecting my life. Please direct me to a good source for help!
_sm.jpg)
I believe you need to focus your care in the urostomy, but the most important is to increase your immune systems, then the problem will be able to solve it self. Grains of Kefir are prove to boost immune system and if you could find grains of water of kefir you could eat them, it's be best think I have been doing for my health problems.
Reply to this comment »You could try using a anitfungal powder and keep a 4x4 piece of gauze under the pouch until the rash is resolved.
Reply to this comment »Have you tried seeing your ostomy nurse? It sounds like the past 2 episodes may have been at least partitially a fungal rash.
Reply to this comment »I am an ostomy nurse, and what I recommend when I see this is use of an antifungal powder (such as Nystatin. This requires an MD prescription.). When you change your pouch you need to clean and dry the skin, sprinkle the antifungal powder over the affected area, and dust away the excess with your finger. I then use a moisture barrier sealant like 3M "NO Sting" or Hollister's skin sealant wipe. I take the wipe and PAT over the powder, covering all rashy areas. Be sure to PAT and Not Wipe! Wiping will wipe away the medicated powder.
Allow the sealant to dry completely, repouch. You will need to be changing the pouch either daily or at least every other day following this procedure until the rash begins to resolve.
Your ostomy nurse can help shown you how to do this. If you don't have one locally, if there is a larger medical center nearby, call them. This is not uncommon.
Good suggestion. However, Nystatin only treats candida (monilia) and will not affect tinea (dermatophyte, "ringworm"). OTC broad spectrum anti-fungals cover both, and are much less expensive and easier to get. If it was fungal, Diflucan, which covers both, should have helped.
Reply to this comment »The only luck I have is with Calmosetine, it still takes using alot of bags because the paste does not adhere well. The generic does not work as well either. Or very little peperation H. Or betadine.
Reply to this comment »I'd be careful with Betadine. It is irritating, especially under occlusion, and, as it is an antibiotic, it won't help either a fungal infection or a contact dermatitis.
Reply to this comment »I would suggest trying another pouching system for a week or two. Maybe your skin needs a change in "environment". Have you gained or lost weight recently to make a change in the fit?
Reply to this comment »Have you tried the "crusting" using stomapowder and skin prep(use the no sting)?
THis may not work so well with the NuHope pouches.
Your post on the OWM site caught my attention and I hope I can suggest some helpful options for you. My first recommendation would be if you don't know a local WOC (ET) Nurse to call, go to www.wocn.org. At the bottom of the home page, there is a section for patients to access. It allows you to search for certified ostomy nurses near you. Your skin condition could be an infection (most likely fungal) or an allergic dermatitis but more information is needed to determine this. Our wound ostomy nurses' group handles questions like these over the phone or we have an outpatient clinic that the patient's doctor can refer to. Our services are covered by most insurances.
Reply to this comment »This could be an allergic reaction, an irritant reaction and/or a fungal infection.
Reply to this comment »When changing pouches, clean with a non-drying cleanser, e.g., Cerave, Purpose, or Cetaphil. Then rinse and blow dry with a hair dryer. Apply a thin coating of 1% hydrocortisone cream, or lotion if available, and reattach the pouch.
If this doesn't help, consider using a different pouch, especially if the rash is in the shape of the faceplate.
Although this doesn't sound fungal, OTC antifungals can be tried (clotrimazole, miconazole, terbenifine) as can barrier sprays or gels.
If you are still not better, you may need to see a dermatologist for prescription strength anti-inflammatory medication (stronger steroid creams, or even a short course of oral steroids).
Hope this helps.
I would get an MDs opinion before you start using steroidal creams - if it is fungal you'll make it alot worse than it already is...
Reply to this comment »Post new comment