How to Reduce Skin Irritation from Extended Ostomy Bag Wear

Quick Summary:

When using an ostomy bag, preventing skin breakdown and irritation is important. This blog discusses how to protect your skin from maceration and discomfort. It also covers which ostomy products help preserve your skin integrity.

Introduction

Knowing how to care for peristomal skin is essential to ostomy management. Preventing skin irritation from ostomy wear will protect your skin integrity and overall health. Irritation and damage might result from ostomy leakage, poor fit and positioning, or eroded adhesives.1

Managing discomfort with ostomy supplies is vital to patient comfort. In this blog, we’ll be discussing skin-friendly ostomy care solutions for long-term ostomy wear and skin health.

Common Causes of Skin Irritation from Ostomy Bag Wear

Skin breakdown from extended ostomy wear may result from poorly fitted barriers. You might also notice maceration from leakage and moisture-related skin damage. Prolonged exposure to fluids makes the skin wrinkle, leading to potential maceration.2

Frequent ostomy barrier changes and irritation is another common cause for skin erosion. Some patients may experience adhesive sensitivity and ostomy bag reactions.

Assessing the causes of skin irritation is the first step in preventing further damage.

Best Practices for Preventing Skin Irritation

1. Choosing the Right Skin Barrier for Extended Wear

Protecting skin with high-quality ostomy barriers is vital. In looking at hydrocolloid vs. standard skin barriers, consider their absorption levels. Ensure that you choose the right kind of barrier for your needs. Because they trap moisture, hydrocolloid barriers protect sensitive surrounding skin.

The best extended-wear ostomy skin barriers resist erosion, providing strong adhesion. These are ideal for a slower, high-volume output over a longer period.3 Though standard barriers absorb liquid more quickly, they often require more frequent changes.

2. Using a Skin Barrier Wipe or Protective Film

Skin barrier wipes create a protective layer, preserving the skin and securely attaching the ostomy bag. It helps to know how to use skin barrier wipes effectively. You’ll be creating a protective film to prevent irritation.

First, wash your skin with soap and warm water, allowing it to dry. Next, apply the product and let it dry, then place your ostomy.4

The best ostomy barrier wipes for skin protection are gentle and skin-friendly. For example, 3M Cavilon No Sting Barrier Film and Safe n Simple Barrier Wipes are soothing for the skin. Explore our variety of barrier wipes for reducing irritation and risk of infection.

3. Managing Moisture and Preventing Skin Breakdown

Preventing maceration with moisture control products can be helpful. Consider using ostomy powders to absorb excess moisture. Ostomy powders are essential to keeping peristomal skin dry for better adhesion.

4. Gentle Removal Techniques to Protect Skin

Prioritize preventing skin stripping from frequent bag changes. The best adhesive remover wipes for ostomy care can help remove barriers gently.

Follow safe removal techniques for ostomy barriers. With a wipe or removal-sprayed paper towel, wipe along the leading edge while slowly removing the adhesive.5

5. Allowing Skin to Breathe Between Changes

Now, we’ll discuss best practices for giving skin a break from adhesives. Breaks are essential to reducing irritation with strategic ostomy wear schedules. Based on your needs, think about how to time ostomy bag changes for skin recovery.

You'll typically change your barrier twice a week, though you should do what works best for you. Plan on changing your pouch before it leaks.6

Some people take 15-30 minute breaks to allow the skin to breathe. If you do this, use a towel or container to catch leakage from your stoma.7

6. Treating Irritation and Promoting Skin Healing

You may want to learn about how to heal minor skin irritation from ostomy wear. Ointments and creams may help remedy skin breakdown. Explore some of the best ointments for irritated peristomal skin.

Consider also when to seek medical care for ostomy-related skin issues. If you’re experiencing persistent skin problems, speak to your ostomy nurse about solutions.

Best Products for Reducing Skin Irritation from Extended Wear

Now, we will look at the best ostomy powders for moisture control and the best adhesive removers for sensitive skin. We’ll also discuss top-rated ostomy skin barrier solutions and skin protectants for long-term ostomy use.

 


Best Skin Barrier for Extended Wear: New Image Flat Flextend Skin Barrier

New Image Pre-Cut and Cut-to-Fit Barriers
FSA & HSA Eligible
(46)
$34.04 - $68.90

 

The New Image Flat Flextend Skin Barrier offers long-term skin protection.

 

Key Features

  • Cut-to-Fit
  • Long-Lasting Protection
  • Secure Locking System

 

Customer Review

"Easy to apply w/ stoma bag & stays well on your body."


Most Effective Skin Barrier Wipes: 3M Cavilon No Sting Barrier Film - Spray, Wipes, Wand Applicator

3M Cavilon No Sting Barrier Film -  Spray, Wipes, Wand Applicator
FSA & HSA Eligible
(96)
$0.57 - $252.63

 

With a wand applicator, spray, and wipes included, 3M Cavilon No Sting Barrier Film helps protect damaged skin.

 

Key Features

  • Hypoallergenic
  • Breathable, Fast-Drying Coating
  • Protects Skin From Fluid and Friction

 

Customer Review

I have tried other ointments and creams and nothing compares to this cream for comfort and protection.


Best Adhesive Remover for Gentle Removal: Brava Adhesive Remover Spray and Wipes

Brava Adhesive Remover Spray and Wipes
FSA & HSA Eligible
(41)
$15.74 - $16.03

 

Brava Adhesive Remover Spray and Wipes gently remove adhesive from the skin.

 

Key Features

  • Dries in Seconds
  • Residue- and Sting-Free
  • Gentle and Effective

 

Customer Review

The adhesive just [peels] right off, no pulling on my skin, no residue left behind I highly recommend the spray. I use long wearing flanges and they are super sticky and I've never had any problems after using this product, it's been life and sanity saving.


Top-Rated Ostomy Powder for Moisture Control: ConvaTec Stomahesive Protective Powder - 025510

ConvaTec Stomahesive Protective Powder
FSA & HSA Eligible
(13)
$8.86

 

With a wand applicator, spray, and wipes included, 3M Cavilon No Sting Barrier Film helps shield damaged skin.

 

Key Features

  • Absorbs Moisture
  • Forms a Crusting
  • Protects Excoriated Skin

 

Customer Review

This powder works well as a crusting agent around ostomy sites in conjunction with skin sealant spray to protect peristome skin.


Best Skin Protectant for Healing Irritated Skin: Span America Selan+ Skin Protectant with Zinc Oxide

SELAN+ with Zinc Oxide
(22)
$6.05 - $60.63

 

With zinc oxide, Span America Selan+ Skin Protectant shields the skin from itchiness and discomfort.

 

Key Features

  • Fast Absorption and Protection
  • Residue- and Petrolatum-Free
  • Strengthens Skin Against Irritation

 

Customer Review

This is a good barrier cream. It does a good job protecting the skin and preventing breakdown.


Where to Buy the Best Ostomy Skin Protection Products

Consider Vitality Medical ostomy care products for expert support and fast delivery of ostomy skin protection supplies. For long-term care, we offer bulk purchase options for ostomy accessories. Explore products from trusted brands for ostomy skin protection.

Conclusion

Keeping skin healthy with long-term ostomy wear means managing moisture levels. You might use gentle wipes or sprays and take time to let your skin breathe. Protecting skin integrity is central to preventing and treating ostomy-related skin irritation.

When choosing the best ostomy skin care products, reflect on the causes of potential skin irritation and explore helpful skin protectant products. For long-term solutions, think about investing in high-quality ostomy solutions.

Discover our variety of ostomy care supplies at Vitality Medical to find a product that suits your needs.

Footnotes

1  "Coloplast." Overcoming skin irritation around your stoma

2  "Denomme, D. (November 21)." Maceration of skin: Definition, causes & treatment. Study.com.

3  "Hill, M., BSN, DNP." Extended wear vs. standard wear skin barriers. Hollister.

4  "Hollister." When and how to use skin protective films

5  "180 Medical." How do I use adhesive remover wipes or spray?

6  "Hollister." Your ostomy pouching system and wear time

7  "Memorial Sloan Kettering Cancer Center. (2025, January 31)." How to manage skin irritation around your urostomy stoma