How To Use Ostomy Paste

If you've just had ostomy surgery or are struggling with leaks around your stoma, you're likely familiar with the frustration and anxiety that comes with uncertain appliance security. Leaks can lead to skin irritation, odor, and feelings of self-consciousness. Ostomy paste is a valuable tool that can significantly improve your pouching system's seal, providing a more comfortable and confident life. When used correctly, it can help fill gaps, create a level surface, and protect your skin from irritating stoma output.

Properly using ostomy paste can be the key to preventing leaks, extending wear time, and maintaining healthy skin around your stoma. It acts as a caulk, filling in uneven surfaces and providing a secure base for your ostomy appliance. Understanding how to apply it correctly is crucial for maximizing its benefits and minimizing potential complications. This guide will walk you through the steps of using ostomy paste effectively, ensuring a secure and comfortable fit.

Frequently Asked Questions: How Do I Use Ostomy Paste?

How much ostomy paste should I use around my stoma?

Use just enough ostomy paste to create a level, secure surface around your stoma for your skin barrier to adhere to. The amount will vary depending on the shape and size of your stoma and any irregularities in the skin surrounding it, but a good starting point is a thin, continuous ring, typically no more than 1/4 inch thick and wide, around the base of the stoma.

Ostomy paste is designed to act as a filler and protective sealant, not as an adhesive. Its primary purpose is to create a flat and even surface on the peristomal skin, which improves the seal between the skin barrier and your body. This helps prevent leakage and protects the skin from irritating stoma output. Too much paste can prevent the skin barrier from properly adhering, leading to premature wear time and potential skin irritation. When applying the paste, focus on filling in any gaps, creases, or uneven areas around your stoma. Smooth it out gently with a moistened finger or applicator, avoiding direct contact with the stoma itself. The goal is to create a "caulking" effect that results in a level base for the skin barrier. Allow the paste to set for a minute or two before applying your skin barrier. You may find that with experience, you need to adjust the amount of paste used based on your individual stoma and skin conditions. If you consistently experience leaks, you might need to reassess your pouching system with your ostomy nurse and consider using alternative products like barrier rings or convex wafers.

What is the best way to apply ostomy paste for an uneven skin surface?

The best way to apply ostomy paste to an uneven skin surface is to use it as a caulk or filler, applying small amounts to fill in creases, scars, or dips around the stoma. This creates a level surface for the ostomy appliance to adhere to, protecting the skin and preventing leakage.

Ostomy paste isn't glue; its primary function is to create a level, protective barrier. When dealing with uneven skin, you want to focus on using the paste to "level the playing field" before applying your ostomy wafer. Squeeze a small bead of paste along the areas where the skin dips or is uneven. You can then gently use a gloved finger or a moistened applicator (like a cotton swab) to smooth the paste and fill in the gaps. Avoid pressing too hard, as this can push the paste out of the intended area. Allow the paste a minute or two to slightly set before applying your ostomy appliance. This helps prevent the paste from sticking to the wafer and pulling away from the skin. The consistency of ostomy paste can vary between brands; some are thicker and more suitable for deep creases, while others are softer and easier to spread. Experiment with different brands to find what works best for your skin and the specific contours around your stoma. Remember, less is often more – you only need enough paste to create a smooth, even surface for the wafer to adhere to. Overuse can actually hinder adhesion.

Should I let ostomy paste dry before attaching my ostomy appliance?

No, you should not let ostomy paste dry before attaching your ostomy appliance. Ostomy paste works best when it's pliable and tacky, allowing it to create a secure and conforming seal around your stoma. Letting it dry will cause it to lose its adhesive properties, hindering its ability to protect your skin and prevent leaks.

Ostomy paste is designed to be applied directly to the skin around your stoma and immediately followed by the application of your ostomy appliance. The paste's purpose is to fill in any gaps or irregularities on the skin surface, creating a level and secure base for the wafer or flange. When the paste is still moist, it can mold to the contours of your skin, ensuring a better fit and preventing stomal output from coming into contact with your peristomal skin. Think of it like caulking around a bathtub. You wouldn't let caulk dry before pressing it into the cracks; you want it to remain pliable so it properly adheres and seals. Similarly, applying your ostomy appliance while the paste is fresh ensures optimal adhesion and protection. After applying the paste and appliance, gently press and hold the wafer against your skin for the recommended time (usually 30-60 seconds) to ensure a strong bond.

How do I remove old ostomy paste effectively and safely?

Gently remove old ostomy paste by using a clean, damp cloth or adhesive remover wipes specifically designed for ostomy care. Avoid harsh scrubbing or abrasive materials, as these can irritate the skin around your stoma. The goal is to lift the paste residue without causing damage or discomfort.

Thorough and gentle removal of old ostomy paste is crucial for maintaining healthy skin around your stoma. Using plain water alone may not be effective, so consider using a dedicated adhesive remover. These products are formulated to dissolve the paste, making it easier to wipe away without excessive force. Apply the remover according to the product instructions, usually by spraying or wiping it onto the affected area, and then letting it sit for a few seconds before gently wiping away the paste. After removing the paste, it’s important to cleanse the skin thoroughly with a mild, pH-balanced soap and water, and then pat it dry completely before applying a new ostomy appliance. This ensures that the new appliance adheres properly and helps prevent skin irritation and potential leaks. Check the skin for any signs of irritation or breakdown during this process and address them promptly, consulting with your ostomy nurse or healthcare provider if necessary.

What's the difference between using ostomy paste and an ostomy ring?

Ostomy paste and ostomy rings are both used to create a seal between the skin and the ostomy appliance, but they differ in consistency, application, and primary function. Paste is a pliable, putty-like substance used primarily to fill in uneven skin surfaces and create a level base for the appliance, preventing leaks and protecting the skin. Rings, on the other hand, are pre-formed, moldable barriers designed to fit around the stoma, providing a secure and consistent seal and often offering greater skin protection and absorbency.

Ostomy paste is ideal for individuals with irregular skin contours around their stoma, such as scars, creases, or dips. By filling in these gaps, the paste creates a smooth and even surface for the ostomy wafer to adhere to. This prevents stomal output from seeping under the wafer and irritating the skin. It can also add extra security against leaks, especially around the edges of the wafer. When applying ostomy paste, it's important to remember that it's not an adhesive; it merely acts as a filler. Apply it sparingly to the skin around the stoma before applying the wafer. Ostomy rings, also known as barrier rings or seals, offer a more consistent and often more reliable barrier than paste alone. They are easier and faster to apply, making them a good option for individuals with dexterity issues or those who prefer a less messy application. Rings come in various sizes and thicknesses, and can be molded or stretched to fit the specific shape and size of the stoma. They also provide better absorbency than paste, helping to keep the skin around the stoma dry and healthy. Ultimately, the choice between using ostomy paste, an ostomy ring, or both depends on individual needs, stoma shape, skin condition, and personal preference. Many ostomates find that using both products provides the best combination of skin protection and leak prevention.

How to Use Ostomy Paste:

  1. Ensure the skin around your stoma is clean and dry.
  2. Apply a small bead of ostomy paste directly to the skin around the stoma where there are any uneven surfaces, gaps, or creases. Avoid applying it directly to the stoma itself.
  3. Gently spread the paste with a gloved finger or a moist cotton swab to fill in any irregularities.
  4. Allow the paste to "tack up" for a minute or two. It should become slightly sticky to the touch.
  5. Carefully apply the ostomy wafer over the paste, ensuring it adheres well to the skin.

Can ostomy paste irritate the skin around my stoma, and how do I prevent it?

Yes, ostomy paste can irritate the skin around your stoma if not used correctly or if you have a sensitivity to its ingredients. To prevent irritation, ensure you apply the paste only to the peristomal skin and not directly on the stoma itself, let it dry slightly before applying your pouching system, and use a thin, even layer rather than a thick one. Also, make sure to cleanse the area thoroughly during each pouch change.

Ostomy paste is designed to create a level surface around the stoma, filling in any gaps or irregularities that could lead to leaks. Leaks can cause stoma output to come into contact with the skin, resulting in irritation, discomfort, and potential skin breakdown. While the paste itself is intended to protect the skin, improper application or certain ingredients can sometimes cause problems. For instance, some individuals might be allergic to certain components within the paste. In these cases, switching to a different brand or type of paste after consulting with your ostomy nurse or healthcare provider is recommended. Proper skin preparation is crucial in preventing irritation. Before applying the paste, ensure the peristomal skin is clean, dry, and free of any lotions, oils, or powders. A gentle, pH-balanced skin cleanser specifically designed for ostomy care is ideal. After cleansing, pat the skin dry completely. Letting the paste "tack up" or dry slightly for a minute or two before applying the pouching system allows it to create a better seal and prevents it from oozing out and potentially irritating the skin. Furthermore, using too much paste can actually hinder the adhesion of the pouch and trap moisture, both of which can contribute to skin irritation. If you consistently experience skin irritation despite following proper application techniques, consider these factors: Consult with your ostomy nurse or healthcare provider for personalized advice and to rule out any underlying issues. They can recommend alternative products, adjust your pouching system, or provide treatments for skin conditions to help you maintain healthy peristomal skin.

How long does ostomy paste typically last once opened?

Ostomy paste typically lasts for approximately 3 to 6 months after opening, provided it is stored properly, according to the manufacturer's instructions. However, this can vary depending on the specific brand and the frequency of use.

The shelf life of ostomy paste after opening is largely influenced by how well the product is sealed and stored. Exposure to air can cause the paste to dry out, harden, or become less effective. It is essential to tightly close the tube or container immediately after each use. Storing the paste in a cool, dry place away from direct sunlight and extreme temperatures will further help prolong its lifespan. Pay close attention to the consistency of the paste before each use. If the paste appears significantly dried out, hardened, or separated, even before the expiration date, it’s best to discard it. Using compromised paste can lead to poor adhesion of the ostomy appliance to the skin, increasing the risk of leaks and skin irritation. Always check the expiration date printed on the tube, but remember that the condition of the paste is the most important factor after opening.

And that's all there is to it! We hope this guide has helped you feel more confident using ostomy paste. Remember, practice makes perfect, so don't be afraid to experiment and find what works best for you. Thanks for reading, and please come back and visit us again for more tips and advice on living your best life with an ostomy!