Re: ostomy pouch
Yes, a colostomy, especially like mine which is a sigmoid colostomy, will pass less digestive fluids than an ileostomy and those digestive fluids will cause skin problems. A little Milk of Magnesia in the pouch will help and pouring a little on the stoma and peristomal skin (and then rinsing it off) when changing the wafer will help with the sores. Making sure that the wafer opening is correct size and the use of paste and/or Eakin seals will also help keep these fluids off the skin.
When I change my wafer I remove it then step into the shower and use the hand held shower head to rinse off the stoma and peristomal area. this way I am sure to get the area clean. I also have to shave the skin near the stoma since I am a hairy fella and this is much easier to do in the shower. If something comes out while I am in the shower then I just wash it down the drain. The flow of warm water over the skin feels good too. I towel off while still standing in the shower and watch to make sure nothing is coming out when I get out of the shower. I immediatly go to the sink and prepare the new wafer, pat dry the peristomal skin with paper towel and I have a paper towel on the counter right in front of me while I lean against the counter. If there is output it will fall onto the paper towel. When the skin is dry I place the wafer on and hold it in place for 60 seconds then snap the pouch on.
Making sure the skin is dry is paramount in getting a long wear time. You can use a hair dryer on LOW to aid in this. If using paste on the wafer let it dry a bit before placing the wafer on the skin as the paste may contain alcohol that can sting.