Brief Answer:
Additional information required

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms

Going by description of symptoms, possibility of inflammation of stoma needs to be considered. Exact diagnosis will depend on clinical examination.

It would be very helpful if you could provide me following additional information for me to be able to assist you

1. Is the Stoma functioning well? ( Is there stools coming out adequately from stoma?)

2. Is there redness in skin surrounding stoma?

3. Do you have associated pain in abdomen?

4. Is there any bulge surrounding stoma?

Also providing clinical photograph of stoma will be very helpful.

Awaiting your response


Take Care

Best Regards
Dr Deepak Kaltari
Consultant Surgeon

---

Brief Answer:
Possibility of Peristomal Herniation needs to be considered

Detailed Answer:
Dear Ms

Going by the description provided it is likely to peristomal excoriation. Possibility of parastomal hernia also needs to be considered if there is bulging of area surrounding the stoma especially during the act like coughing which increases intrabdominal pressure.

I would suggest you the following

1. Local application of barrier ointment like Dr XXXXXXX Zinc oxide paste surrounding the stoma where there is excoriation will help relive the inflammation. Also Coloplast paste can also be used

2. Antispasmodic like Drotavarin will provide relief from abdominal pain.

3. Thorough clinical examination from physician to rule out Peristomal Herniation


Do get back to me if you need any further assistance, will be glad to assist you.

Wishing you and your family a very happy and healthy life.


Take care

Best regards
Dr Deepak

---