What is the best way to treat skin breakdown around a stoma do to the colostomy appliance?

First, make sure your appliance fits well. Make sure it is not too big (#1 cause of skin breakdown). The opening should be not much larger than your stoma. If that is not the culprit, try a different adhesive. The best way to treat some of these problems is to correct the issue. We often switch to Stomahesive powder in cases where the skin is really broken down. Make sure it is not due to Candida because medication is needed in that case.

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