US 
Managing stoma granulomas
There is no reason a stoma should get in the way of everyday tasks and activities such as physical activity and sleeping, there are plenty of solutions to help you. Select the problem that you may be experiencing below to get a solution for that extra support.
What is a stoma granuloma?
One of the most common reasons ostomates request a review appointment is that they have noticed some bleeding around their stoma. One of the most common reasons for this is a little thing called a granuloma, this usually occurs at the junction of where the stoma joins onto the skin. This is thought to be due to where the sutures have been and an irritation at the mucocutaneous junction. Another reason people think this happens is from irritation of the faecal enzymes.
What does a granuloma look like
You will notice that you have a little red raised area, it can occur on the stoma itself. If you discover these little red lumps and it does bleed or feel a bit painful you should visit your stoma nurse as there is things that can be done to help you manage this situation.
Treating a granuloma
The first thing the nurse will do for you is measure the template of your bag that your cutting or have already got pre cut. It is really important that the bag is as neat a size as possible to the stoma as the more contact with the mucocutaneous junction or the peristomal skin can develop other problems.
If you are diagnosed that you do have a granuloma you will be wondering what the best treatment for this is. According to the most recent guidelines for the stoma care nurses the first line of treatment would be using a silver nitrate pencil. What the nurse will do is just press the pencil down on the granuloma causing it to reduce in size. You will need to go back to the hospital for around 4 weeks, 1 day each week to have the treatment repeated.
Another tip that works well is once the nurse has treated the granuloma, put on a seal or a washer over the top of the treatment area helping to press down on the granuloma.
There is no real way to prevent granulomas occuring. They can re occur again even thought they have been treated.
If you do find after this blog post when you look at your stoma you do have little swellings at that junction but they aren’t causing you any harm or aren’t bleeding excessively, you don’t need them treated but if you notice it getting worse then do contact your stoma nurse.
See below for product recommendations to help with managing stoma granulomas.
eakin Cohesive® small
The Extra Protector. eakin Cohesive® small is our thickest seal that prevents leaks for those with looser output such as high output stomas, loose or watery output or urine. The thicker seal can also be stretched and moulded easily around irregular shaped stomas less than 50mm.
You will be redirected to our US partner’s website to fulfil your sample request.
eakin Cohesive® paste
eakin Cohesive® paste is an alcohol-free, no sting adhesive paste and a skin friendly filler for effective protection against leakage.
You will be redirected to our US partner’s website to fulfil your sample request.
