Persistent Yeast Infection

[Bsnyder325]

I've had a yeast infection under my ostomy flange for over a year. Nystop has helped in the past, but now only relieves the itching and oozing for a matter of hours. The itching is terrible, and I have to change my pouch everyday. Does anyone have suggestions? Thank you!

[Soccermom2boys]

When I went to the UOAA conference in Philadelphia this past August, there was a vendor there with silicone ostomy products. Perhaps the silicone based wafer would eliminate the yeast infection reaction to your current product? The company name is Trio and their product line is Siltac. Just a thought for a completely different approach to skin reactions to these wafers.

[texazgal]

Time to see a dermatologist. I got a 'scrip for Kenalog spray for a similar problem. Trouble was, the barriers wouldn't stick because it was greasy so I had to use a nonadhesive barrier which I think is what Soccermom is talking about. Also read the thread below about "Why rotate". No one should have to put up with this for a whole year!

[oliveoyl]

The Trio Company has a silicone seal, called Siltac, that is like an eakin seal. But I did not see a wafer/skin barrier/baseplate made of silicone. You'd still have to use an adhesive skin barrier (wafer).

[nickolas]

I use "Antifungal Powder with Miconazole Nitrate 2%" It is by Coloplast. It is for Effective Treatment of Topical Fungal Infection. Been using it for years without any problems. I got this from an Ostomy nurse and is powder based vs oil based.

The other thing I do, I DO NOT let my wafer get wet until I am ready to change it. I take a shower every other day, sometimes more during the summer time. When I do shower, I use a hand held shower head and a towel. Or if am away from home, I will wash my hair first with only head under the spout. Then I will take a bath with low water.

Guess athlete's foot, Jock itch and yeast infection are all caused by the same fungus.

Good luck, when I developed my fungus under my wafer, just a few months following my surgery, it itched like crazy. Surgeon recommend one oil base product, Onc recommended another oil based product. Ostomy nurse recommend the powder as it is not oil based.

Nickolas

[garbled modwit]

I agree with Nickolas - I never allow the appliance to get wet. I use a Hollister appliance which adheres with a fabric. If this gets wet it stays wet and I have had yeast infections because of the nice warm and wet conditions that creates. When I shower I use tape to secure the appliance to my skin which covers the fabric. It works really well and I've had no trouble with yeast since. The tape I use is Nexcare Absolute Waterproof tape - excellent stuff!
Sue

[Diane C]

Sorry to hear this! Guess I am lucky in that Stomahesive or other powder helps me with very occasional yeast or skin irritation. However, while your skin is healing -- and I needed to use this once -- the silicone ring is very helpful. You use it temporarily and apply it with a belt. No adhesive wafer of any kind rests on your excoriated or weeping skin so with hope, the yeast clears up and the skin gets a breather. See http://www.greatmedicalsupplies.com/bra ... cat~91.htm and scroll down. This silicone ring used to be made by a company called EHOB. You may need to contact the manufacturer for help. I admit I used this when I had a colostomy. It'd be more challenging now with an ileostomy that has far more output.

Also, I found my visits to a dermatologist a waste of time when I couldn't wear taped wafers because of skin sensitivity. Far better -- an ostomy nurse at the hospital or the wound care center if your hospital or clinic has one.

Wishing you much luck!

Diane C.

[WOCNROLL]

Are you crusting with the anti-fungal powder? Crusting is applying the powder to the affected area, and then dabbing skin barrier to seal it. This technique has worked with many of my ostomy patients.

[nickolas]

. . . The tape I use is Nexcare Absolute Waterproof tape - excellent stuff!
Sue

THANK YOU for that tip, going to get some and try it.

Nickolas