Taking care of the skin around your stoma, otherwise known as peristomal skin, is vital for a comfortable and complication-free ostomy experience. While it may seem daunting at first, maintaining healthy skin isn’t complex if you follow some essential strategies. Here, we outline five methods that can help you to keep your peristomal skin in the best possible shape.

Regular and Thorough Cleaning is Essential
One of the critical steps to maintaining healthy peristomal skin involves regular and thorough cleaning. Whenever you change your pouch, it’s important to clean the skin around your stoma. By doing so, you significantly reduce the risk of infection, prevent skin irritation, and avoid the accumulation of waste materials that could hinder your stoma’s proper functioning.
Using warm water and a soft, lint-free cloth will provide a gentle yet effective clean. Steer clear of soaps that contain oils, perfumes, or deodorants, as they may leave a residue on your skin. This residue can interfere with how your pouch and skin barrier adhere to your skin, potentially causing problems down the line.
After cleansing, be sure to dry the area completely but in a gentle manner. Leaving any moisture behind can negatively impact the stickiness of your pouch and skin barrier, possibly causing leaks which, in turn, can lead to skin irritation.
Overall, incorporating regular and thorough cleaning into your routine can go a long way in promoting the health of your peristomal skin. This simple but vital step can keep your skin in optimal condition and help prevent potential ostomy-related complications. Remember, each step you take towards better care of your peristomal skin contributes significantly to a more comfortable and worry-free ostomy experience.

Proper Pouch and Skin Barrier Application
Applying your pouch and skin barrier correctly is a pivotal part of maintaining the health of your peristomal skin. The size of the skin barrier is of utmost importance. It should fit comfortably around your stoma, without actually touching it. If it’s too large, there’s a risk of fecal matter coming into contact with the skin, leading to potential irritation. Conversely, if it’s too small, it can restrict the stoma and cause other complications.
Changing your pouching system routinely is another crucial element. However, it’s important to strike a balance and avoid excessive changing as this could lead to skin irritation. Generally, it’s recommended to change a pouch every three to five days, but this can vary based on your individual stoma and skin condition.
Keep in mind that properly applying your pouch and skin barrier is not just about maintaining healthy peristomal skin but also about ensuring a comfortable and worry-free ostomy experience. Always remember to consult your healthcare provider or ostomy nurse if you have any doubts or questions about the application process.

Regular Inspection and Early Intervention
Keeping a close eye on your stoma and the skin surrounding it is a vital practice. This involves monitoring for changes in color or texture, or the development of sores or rashes. Such changes could be an indication of an underlying issue. Taking prompt action when you notice these changes is important for preventing further complications. Contact your healthcare provider or an ostomy nurse immediately for guidance.
A practical way to keep track of changes is by keeping a detailed journal. This log should note any changes you see or symptoms you’re experiencing. This practice can help you spot potential issues early on and identify any patterns that might be causing skin problems.
Remember, early intervention is key in managing your ostomy effectively and maintaining healthy peristomal skin. Ignoring minor symptoms can lead to significant problems down the line, so be proactive and seek help as soon as you notice any changes. This active approach will help ensure a smoother, more comfortable ostomy experience. Always, your healthcare provider or ostomy nurse should be your first point of contact for any concerns or questions. They can provide the advice and support you need to manage your stoma and peristomal skin effectively.

The Role of Nutrition and Hydration
Proper nutrition and adequate hydration are cornerstones of overall health, and they also play a significant role in the health of your peristomal skin. Adequate hydration, achieved by drinking enough fluids, contributes significantly to maintaining the elasticity and resilience of your skin. Moreover, it assists in flushing out toxins, helping to keep your skin clean and clear.
In addition to hydration, a well-rounded diet, rich in vital nutrients, is integral to your skin’s health. Foods high in vitamins A, C, and E should be a regular part of your meal plan, as these vitamins are known for their skin-benefiting properties. Vitamin A assists in the repair and maintenance of skin tissue, vitamin C aids in collagen production—a crucial protein for skin elasticity and strength—while vitamin E acts as a potent antioxidant, combating skin-damaging free radicals.
It’s also beneficial to maintain a healthy weight. Excess weight can exert more pressure on your stoma, potentially leading to complications like hernias or leaks. Eating a balanced, nutrient-rich diet, coupled with regular physical activity, can help manage your weight effectively.
However, it’s important to remember that everyone’s dietary needs and tolerances may differ, especially for those with an ostomy. What works for one person may not work for another. Therefore, it’s advisable to consult with a dietitian or healthcare provider to help tailor a diet plan that suits your individual needs, promotes your overall health, and aids in the health of your peristomal skin.
Thus, paying attention to your nutrition and hydration is not just beneficial for your overall health, but it also plays a key role in maintaining the health of your peristomal skin. Your commitment to a balanced diet and adequate hydration, along with the other strategies outlined in this post, can contribute significantly to a healthier, more comfortable ostomy experience.

Choosing the Right Ostomy Supplies
It’s critical to select appropriate ostomy supplies to keep your peristomal skin healthy. Each person’s body and stoma are unique, and the ostomy products that work best will vary accordingly. This includes not only the pouching system and skin barrier but also adhesive removers and any additional items you may need such as barrier rings or stoma powder.
Just because a certain product is effective for someone else doesn’t mean it will work as well for you. If you notice that a specific item is causing skin irritation, it may be necessary to consider other brands or types. The process of finding the most suitable ostomy supplies can require some experimentation, and it’s important to be patient with yourself during this period.
The overarching aim is to ensure you can live comfortably with your ostomy, while also maintaining the health of your peristomal skin. Discovering the right combination of products might involve some trial and error, but it’s a journey that will ultimately contribute to an improved ostomy experience.
Bear in mind that your healthcare provider or an ostomy nurse is always there to assist you. If you’re unsure about a product or if you have any concerns, don’t hesitate to consult them. They are well-equipped to provide you with the necessary guidance and reassurance you need to effectively care for your stoma and the skin around it.