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Allergic reaction

Posted: 2020-09-14 10:24:08
by Lookin4ward
I have had my Ostomy for 6 years. No skin issues at all. 6 weeks ago I developed irritation under my wafer. At first we treated it as a yeast infection. The nystatin was not working. I noticed that I was red and weeping everywhere but the area that my eakin seal sits on. I am sensitive to tape so where I had to reinforce my wafer was red too. Long story but it is a reaction to the adhesive. My issue is that I can’t leave it open to air bc it outputs constantly. I can’t use the triamcinalone cream bc it’s a cream. What can I do and has anyone had this experience? I am at a loss. TIA.

Re: Allergic reaction

Posted: 2021-02-25 12:43:07
by JaneSmiley
Did you solve this problem? This just happened to me this week. I will be seeing an ostomy wound care nurse in two weeks. I saw my ostomy surgeon today and he said it was contact dermatitis.

Re: Allergic reaction

Posted: 2021-02-26 09:01:53
by To Dream a Dream
Years ago, I has some success with Kenalog spray (or perhaps a more modern substitute) & a powder. Your WOCNurse may know. Also, my late great enterostomal therapy RN recommended doing a 'patch test' of each new product tried away from the problem site.
You may consider contacting the current manufacturer/distributor of Eakin seals for more suggestions. They may be aware of a specific tape/product that can be used successfully with their seals.
Skin irritation can take some time to heal & be very frustrating. Hopefully, yours will heal soon.

Re: Allergic reaction

Posted: 2021-02-26 09:05:38
by To Dream a Dream
Just checked out the UOAA.org website & found this link: https://www.ostomy.org/category/skin-care/

Re: Allergic reaction

Posted: 2021-02-28 11:29:56
by steiconi
I use a tapeless wafer, Convatec durahesive because I'm allergic to adhesives.

Have you tried a barrier spray like Cavilon? That might be a stopgap, though I developed an allergy to that, too.

Re: Allergic reaction

Posted: 2021-04-12 21:23:21
by JerryNYC
I use Cavilon spray as a base before I do anything else. I like to give 2 coats and allow to dry between coats. (Fortunately, I have never developed an allergy to that, as has Steiconi.) I then use a barrier ring (Hollister Adapt) as I developed a contact allergy to Eakin seals. After I put on my wafer, I seal it off with ALP Products "Sure Seal Rings". I don't think I could survive without the Cavilon and the Sure Seal Rings. With summer coming up (and hopefully swimming) the Sure Seal Rings are helpful in making sure that your appliance stays solidly on.

Re: Allergic reaction

Posted: 2021-04-13 13:17:01
by To Dream a Dream
Thanks for sharing. I, too, am an aficionado of those Sure Seal Rings having had excellent results with them. Once I got the hang of attaching them without the film doubling back & sticking to itself. (I also learned to fold a corner over onto itself on application to make a little tab for easier removal.) I get them thru Parthenon.
Just found an ad for a Marathon No-sting Cyanocrylate skin protectant that comes in disposable tubes. (Looks like a sort of crayon.) It is advertised as fast drying which is a necessity for a temperamental ileo stoma with short bowel.

Re: Allergic reaction

Posted: 2021-05-10 15:28:42
by JerryNYC
"To dream a Dream", How are you putting on the "Sure Seal Rings"? When I first starting using these, there was a tab that you pulled off to expose the sticky side of the Ring to go directly over the wafer before you attached the pouch. This model of the "Ring" was followed by a model that required you to first expose the sticky side of the ring and then after the pouch was attached you "threaded" this ring upward from the tail of the pouch all the way up to the wafer, and then attached it to the wafer around its central hole. I was never able to do this properly. I corresponded with the manufacturer and he changed the model to the current one, which resembles the original model. For this, you first remove the 2 clear plastic half-circles of the "Ring" to expose its sticky side and then stick this directly to the wafer, which you had already attached around the stoma. After you peel off the white paper from the "Ring", you press the pouch on to the wafer. It's actually simpler than it sounds and it works well every time. Are you trying to thread the "Ring" on to the wafer after the pouch has been put on?

Re: Allergic reaction

Posted: 2021-05-10 15:39:47
by JerryNYC
"Looking forward", Sorry for the delay but I just noticed this. Years ago I developed a severe contact allergic reaction to "Eakins" seal (although the Eakins manufacturer claimed to me that this never happens). I switched to "Hollister Adapt Barrier Rings" and have never had a similar problem.

Re: Allergic reaction

Posted: 2021-05-11 15:59:20
by To Dream a Dream
Hello JerryNYC: Having lost so much of my GI tract including several feet of small gut, my changes must be made as quickly as possible. I change prone in the tub (am a little too feeble in the a.m. to have ever been able to complete this procedure in the shower) & replace the ConvaTec moldable Durahesive wafer after cleanup with plain water on a pure cotton pad & the application of a Sensi Care wipe. If the stoma cooperates, I quickly moisten the barrier ring with water & snap on the clean pouch. Then, I can apply a Sure Seal without having to worry about an eruption from the stoma. This I do by first folding back the heavier plastic (printed) covering & dropping the pouch thru the opening. I center the Sur Seal against my wafer & peel away the lower part (via the folded portion.) Then the trick is to find an edge of the remaining printed plastic & remove the remaining segment. I next smooth down the Seal & finally tear away the plain white lighter backing in basically one motion. (Often tearing it in two if needed.) I also try to fold over a corner of the film (creating a tab) for easy removal during the next change.
Yes, it may seem complicated from my inept directions, but I find the results are well worth the effort.