Stoma paste is used in ostomy care to enhance the seal of an ostomy appliance. It functions as a filler and protective layer, not a primary adhesive. The paste creates a secure connection between the skin around a stoma and the ostomy barrier.
Its Primary Functions
Stoma paste creates a secure seal between the skin and the ostomy appliance. This seal prevents leakage of bodily output, such as stool or urine, from getting under the ostomy barrier. It helps maintain the appliance’s integrity and reduces leakage.
The paste also fills uneven skin contours around the stoma. Natural skin folds, scars, or dips can create gaps when an ostomy barrier is applied. Stoma paste acts like a caulk, smoothing these irregularities to provide a flat surface for the barrier to adhere to. This ensures the barrier makes flush contact with the skin.
Stoma paste acts as a protective barrier for the peristomal skin. Stoma output can irritate healthy skin. The paste shields this sensitive area from direct contact with effluent, preventing skin irritation and breakdown. This also helps extend the ostomy appliance’s wear time.
How to Apply and Remove
Effective application of stoma paste begins with proper skin preparation. Before applying the paste, the skin around the stoma should be thoroughly cleaned and completely dry. Any moisture or residue on the skin can interfere with the paste’s ability to form a proper seal and adhere effectively.
Stoma paste can be applied directly to the skin around the stoma or to the adhesive side of the ostomy barrier, near the opening. A small, even bead of paste is sufficient to fill any uneven areas. Some individuals gently spread the paste with a moistened finger or tool to ensure it fills all contours.
After applying the paste, allow it to set for a minute or two before attaching the ostomy appliance. This brief waiting period helps the paste settle into the skin’s contours and create a more secure foundation. Once the appliance is in place, gentle pressure around the stoma helps distribute the paste and reinforce the seal.
When changing the ostomy appliance, the stoma paste usually comes off with the barrier. Any remaining residue can be gently removed with warm water and a soft cloth. Adhesive remover wipes are also available to dissolve stubborn residue. It is not necessary to remove every trace of paste, and scrubbing the skin should be avoided to prevent irritation.
Tips for Use
Maintaining peristomal skin health is important when using stoma paste. The paste protects the skin from corrosive stoma output, a common cause of irritation and complications. Ensuring the skin is clean and dry before each application supports its health and the paste’s effectiveness.
Some individuals may experience a temporary stinging sensation when using stoma paste, particularly if the skin is already irritated, as many tube pastes contain alcohol. If persistent irritation occurs, or if there are concerns about skin health, consulting a healthcare professional, such as a stoma nurse, is advised. They can provide guidance on product selection or application techniques to alleviate discomfort.
Proper storage of stoma paste helps maintain its consistency and effectiveness. Keeping the product in a cool, dry place and ensuring the cap is tightly sealed prevents it from drying out or hardening. Using an appropriate amount of paste is also important, as applying too much can sometimes reduce its effectiveness rather than enhance it.