Skin Problems Around Stoma – UK

Skin problems around the stoma are one of the most common issues ostomates face, but the good news is they are almost always manageable once you understand the causes. The skin surrounding your stoma should look like the rest of your abdomen — smooth, intact, and free from redness or pain. If it becomes sore, broken, or discoloured, it means your skin barrier has been compromised, often by leakage or friction.

Healthy peristomal skin ensures your pouch adheres properly, prevents leaks, and makes daily life much more comfortable. Ignoring irritation can create a cycle: leakage leads to skin damage, damaged skin weakens the seal, and weak seals cause more leakage. Recognizing and treating early signs of irritation is key to breaking this cycle.

In this guide

Sore skin around a stoma: the most common causes
Itchy skin around a stoma
When to call your stoma nurse or GP
Skin around the stoma: common questions
Stoma Skin Problems
Treating Skin Irritation Around Your Stoma

Quick answer: Sore or red skin around a stoma usually comes from output touching the skin, from a flange cut too big, or from pulling the bag off too fast. Measure your stoma again, cut the flange 1–2 mm bigger than the stoma, and use an adhesive remover. If the skin is broken, bleeding or still sore after a few changes, call your stoma nurse.

Sore skin around a stoma: the most common causes

Take the Weight Off Your BaseplateSupports bag weight evenly so gravity never tugs on your seal or causes sore peristomal skin.See gentle support →

Leaks under the flange. Output on the skin is the number one cause, especially with an ileostomy or urostomy. Our guide my stoma bag keeps leaking covers how to find where a leak starts.
A flange that no longer fits. Stomas change size, most of all in the first weeks after surgery. Measure again every few weeks at first, and again whenever your weight changes.
Stripping the skin. Peeling the bag off quickly lifts the top layer of skin. An adhesive remover spray or wipe, used every time, makes a real difference.
An allergy or sensitivity to an adhesive or a wipe. The redness then often matches the shape of the product exactly.
Fungal infection. A red, itchy rash with small spots at the edges, more common when the skin stays warm and damp.

Sore skin around your stoma bag: what helps

Most sore skin around a stoma bag settles once the cause is fixed. Re-measure the stoma and cut the opening to fit, change the bag at the first sign of a leak rather than waiting, use an adhesive remover every time you take the bag off, and let the skin dry completely before the new one goes on. A barrier film can protect skin that is already red. If the skin is broken, weeping or no better after two or three changes, see your stoma nurse.

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Itchy skin around a stoma

Itching under the bag is common and is usually caused by moisture, sweat or a reaction to the adhesive. Dry the skin well before you put on a new bag. Skip creams under the flange, because they stop it from sticking. If the itch comes with a spotty red rash, ask your stoma nurse about an antifungal treatment. Many products are available on NHS prescription. When the weather is warm, a soft fabric stoma bag cover keeps the plastic of the bag off your skin and feels cooler against the body.

When to call your stoma nurse or GP

the skin is broken, weeping or bleeding and does not improve after two or three changes;
the bag will not stick because the skin is wet or raw;
the redness spreads, or you have pain, swelling or a high temperature;
the stoma itself changes colour and turns dark red, purple or black. In that case, call NHS 111 or your hospital straight away.

Your stoma nurse can check your stoma size, change your products to a convex flange, rings or a different adhesive, and prescribe barrier products. The NHS guide to living with an ileostomy lists the skin problems to look out for.

Is the skin around my stoma infected?

Signs that the skin around your stoma needs checking are redness that spreads, pain, swelling, a high temperature, or skin that is broken, weeping or bleeding. A red, itchy rash with small spots at the edges is often a fungal infection, which is more common when the skin stays warm and damp. Do not treat it with creams under the bag on your own: call your stoma nurse or GP, and call NHS 111 straight away if the stoma itself turns dark red, purple or black.

Yeast Infection (Fungal Rash) Around a Stoma: How to Spot and Treat It

Unlike a standard output leak burn—which sits directly where stool touched the skin—a peristomal fungal or Candida yeast rash usually starts as bright red, intensely itchy skin with tiny pinpoint “satellite” spots or pustules spreading outward under the adhesive flange, especially in warm weather or after antibiotics. Standard steroid creams or oily ointments will not clear a fungal rash and can stop your bag sticking; instead, ask your NHS stoma care nurse or GP for an antifungal stoma powder (such as nystatin or miconazole powder), dust a tiny amount onto the damp rash, brush off any excess, and seal it with a barrier film wipe ("crusting") before applying your pouch and a breathable stoma bag cover or stoma belt that wicks moisture away from the skin.

Keeping peristomal skin clean and completely dry during a stoma bag change — Letting the skin dry completely after washing and switching to a breathable fabric cover helps prevent fungal moisture buildup.

Peristomal Yeast Rash vs. Contact Irritation: How to Tell
Feature	Fungal / Yeast Rash (Candida)	Contact / Output Irritation
What it looks like	Bright red patch with tiny pinpoint 'satellite' spots around the outer edge	Matches the exact shape of a wafer leak or adhesive tape area
Main trigger	Warmth, sweat, or damp skin trapped under the plastic bag	Digestive output touching skin or stripping the skin barrier too fast
How to clear & prevent it	Antifungal powder sealed with barrier film (crusting) + breathable SIIL Stoma Bag Cover	Re-measure stoma size, level creases with a ring, and dry skin fully before applying

Man and woman wearing washable SIIL stoma bag covers

Breathable Pouch SleeveWashable SIIL Stoma Bag Covers

Eliminates plastic-on-skin sweat and rustling under clothes while keeping your drainable or closed stoma pouch easy to empty.

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Man fitting his stoma bag into the inner pocket of a black SIIL stoma belt

Everyday Stoma Support UKSIIL Stoma Belt With Inner Pocket

Carries the weight of a filling stoma bag close to your body to reduce downward tug on your flange during work, exercise, and sleep.

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Skin around the stoma: common questions

Why is the skin around my stoma red and sore?

Usually because output has got under the flange, the hole is cut too big, or the bag is being removed too quickly. Re-measure the stoma, cut the flange to fit, and use an adhesive remover.

Can I put cream on the skin around my stoma?

Avoid ordinary creams under the flange, because they stop it from sticking. Use only barrier products made for stoma skin, as a thin film that dries completely, or the treatment your stoma nurse prescribes.

How long does sore skin around a stoma take to heal?

Once the cause is fixed, mild redness usually settles within a few bag changes. Broken or weeping skin can take longer, so ask your stoma nurse to check it.

Is itchy skin under a stoma bag normal?

Mild itching is common, especially in warm weather. A rash with small spots, or itching that keeps coming back, may need checking for a fungal infection.

Written by María G. · hola@siilostomy.com · Last updated: 20 October 2026

Stoma Skin Problems

What Are Stoma Skin Problems?

Skin problems around the stoma can be caused by several factors, including leakage, friction, allergies, or infections. These issues can lead to redness, soreness, itching, or burning sensations. In more severe cases, the skin may become raw, broken, or ulcerated.

Common types of stoma skin problems include:

Irritant contact dermatitis: Caused by contact with stoma output or moisture trapped under the adhesive.
Allergic dermatitis: Triggered by a reaction to adhesives, sprays, wipes, or barrier products.
Fungal infections: Thrive in warm, moist areas under the pouching system.
Mechanical trauma: Due to friction, frequent changes, or rough removal of the baseplate.

Recognising Early Symptoms

Early signs of skin problems around the stoma include redness, soreness, burning, small pimples, or dry patches. In some cases, you may notice bleeding spots, white areas, or a moist rash. The earlier you identify the cause, the easier it is to treat and prevent further irritation.

Treating Skin Irritation Around Your Stoma

How To Manage Skin Irritation Around Your Urostomy Stoma

If you have a urostomy, urine can be especially irritating to the skin due to its chemical composition. The goal is to prevent any urine from coming into contact with your skin. Make sure your pouch fits perfectly and check for any erosion of the adhesive. Empty your pouch regularly and dry the area well before reapplying.

How to Treat Skin Irritation Around Stoma

Identify the cause: Determine whether the irritation is from leakage, moisture, poor fit, or product sensitivity.
Clean gently: Use only warm water to wash the area; avoid soap, perfumes, or alcohol-based products.
Dry thoroughly: Always ensure the skin is completely dry before applying the new pouch.
Protect the skin: Apply a thin layer of skin barrier film or powder to protect the area from output.
Adjust your pouch: If leakage is recurring, consider a different size or convex shape for a better seal.
Change more often: Do not wait for itching or pain; change the appliance before the adhesive breaks down.

What Does Fungus Look Like Around a Stoma?

A fungal infection around the stoma typically appears as a red, itchy rash with small white patches or bumps. The area may feel moist or have a burning sensation. This is more common in people with diabetes, those on antibiotics, or anyone living in humid conditions. Keeping the skin clean and dry is the best prevention

What Cream Is Good for Skin Around Stoma?

The best cream for skin problems around the stoma is one that protects without affecting adhesion. Avoid heavy moisturisers or oily lotions under the barrier. Use alcohol-free barrier films or stoma powders specifically designed for ostomy care. If the irritation is severe or allergic, consult your nurse about mild steroid or antifungal creams.

What Causes Skin Breakdown Around the Stoma?

If the skin is broken or weeping, use stoma powder and brush away any excess before applying your barrier. Apply a protective film to create a dry surface and then attach your pouch. Allowing time for the area to heal while preventing leakage is key. Change your pouch more frequently and avoid removing it too often.

Stoma Bleeding and Irritation

A small amount of bleeding from the stoma itself is normal because the tissue is delicate. However, if bleeding occurs from the surrounding skin or if it’s persistent, it may indicate trauma or irritation. Avoid aggressive cleaning, check that your pouch edge isn’t cutting into the skin, and seek advice if it doesn’t resolve quickly.

How to Treat Skin Breakdown Around Stoma

Pictures of Yeast Infection Around Stoma

Yeast infections typically appear as red, patchy, moist rashes with white areas or small pustules. They are itchy, uncomfortable, and tend to occur under the barrier where moisture is trapped. Treatment often involves antifungal powder and keeping the area dry before reapplying the appliance.

Ileostomy Skin Irritation Treatment

Unhealthy Stoma Pictures

Ileostomy output is more liquid and acidic, so irritation is common. To treat it:

Use a convex or flexible pouch for better contact.
Apply stoma powder and a protective barrier before each application.
Change your pouch more frequently to prevent erosion.
Monitor for leaks and clean gently after each change.

An unhealthy stoma area often looks inflamed, red, shiny, or raw, and the skin may ooze or develop small raised bumps. These are warning signs that something isn’t right with your pouching system or skin care routine. When stool or urine leaks under the barrier, it can irritate and damage the skin very quickly. Ignoring these signs can lead to infection or more severe skin breakdown. It’s important to act fast — gently clean the area with warm water, let it dry completely, and check that your stoma appliance fits properly. If the redness or soreness doesn’t improve, seek advice from a stoma nurse to prevent further complications and restore a healthy stoma area.

In many cases, an unhealthy stoma area develops from a poor-fitting appliance, allergic reactions, or excessive moisture trapped under the barrier. You can prevent this by using protective barrier creams or wipes designed for stoma care and avoiding harsh soaps or alcohol-based products. Make sure the opening of your wafer matches the exact size of your stoma — too loose or too tight can cause damage. Regularly inspect your skin during pouch changes and adjust your products as needed. With consistent care and attention, you can heal and prevent an unhealthy stoma area, keeping your skin comfortable and irritation-free.

What Cream Is Good for Irritated Skin Around Stoma

Stoma Itchy Relief

If your skin is itchy but not visibly irritated, check your adhesive removal method. Use adhesive removers and barrier wipes to reduce friction. For persistent itching, a mild antifungal or barrier powder may help. Avoid scratching, as it can lead to infection.

White Skin Around Stoma

White or pale skin can result from overuse of powders or moisture maceration. This means the area is too wet or has lost its natural oils. Allow the skin to air dry and limit the use of powder. Once healed, maintain a balanced routine of cleaning, drying, and protection.

Stoma Infection Signs

Watch for redness spreading beyond the stoma, pain, swelling, pus, or an unpleasant smell. If accompanied by fever or general illness, this may indicate an infection. Seek professional help promptly for assessment and treatment.

Daily Prevention and Care Tips

Preventing skin problems around the stoma starts with routine care and proper pouch fitting. Here’s how to protect your skin every day:

Measure your stoma regularly and cut the opening to fit perfectly.
Clean gently with warm water — no soaps or fragrances.
Pat dry completely before reattaching the baseplate.
Avoid over-tightening the belt or pouch.
Change your pouch before it leaks or irritates the skin.
Trim hair instead of shaving to prevent folliculitis.
Use barrier wipes to create a thin, protective layer over the skin.
Keep an eye on any change in colour, texture, or sensitivity.

When to Seek Professional Help

You should consult a stoma care nurse or healthcare provider if:

The irritation lasts more than two weeks.
The skin becomes broken, ulcerated, or infected.
You notice persistent leakage or poor adhesion.
You develop pain, swelling, or fever.
The stoma or surrounding skin looks significantly different from usual.

Prompt intervention prevents small irritations from turning into severe infections or long-term damage.

Best SIIL Ostomy Products to Prevent Skin Problems Around the Stoma

Skin problems around the stoma often begin with leakage, moisture, or friction — all of which can be prevented by keeping the pouch stable, supported, and away from direct contact with skin.
SIIL Ostomy has developed several garments and accessories specifically to address these causes.

SIIL Ostomy Belt

Prevents: leakage, skin irritation, moisture build-up, adhesive erosion.

The Ostomy Belt holds the pouch firmly in position, preventing it from pulling on the adhesive or moving during daily activities.

By keeping the baseplate flat against the skin and limiting weight and motion, it reduces pressure and friction — two of the main causes of skin breakdown.

It also adds gentle compression that helps keep the seal intact and protects the peristomal area from leaks.

Final Thoughts

Managing skin problems around the stoma is a continuous process of observation and prevention. The key is to maintain healthy, clean, and dry peristomal skin while ensuring your pouch fits perfectly.
With the right care routine, most skin irritations heal quickly, and your daily comfort improves significantly.
Healthy skin is the foundation of confident ostomy care — and with consistent attention, you can keep it that way.

FAQ

Skin Problems Around Stoma

What are the most common skin problems around a stoma?

A: The skin around a stoma may become irritated due to leakage, poorly-fitting pouching systems, moisture accumulation, friction or allergic reactions. These issues can lead to redness, raw or weepy skin, bumps, blisters or persistent itching

How can I tell if the skin around my stoma is healthy?

A: Healthy peristomal skin looks and feels similar to the skin elsewhere on your abdomen — intact, smooth and without redness, raised rash, blisters or wet areas. If you see deep redness, peeling, holes or constant irritation, that is a sign of a skin problem.

How do I treat skin irritation or damage around the stoma?

A: Key steps include:

Cleaning gently with warm water only and drying thoroughly.
Ensuring the pouch flange hole fits the stoma exactly (not too loose, not too tight).
Changing pouching systems more frequently if leakage is repetitive.
Using skin-friendly accessories (e.g., stoma powder, barrier film) if recommended.
Consulting your stoma care nurse if no improvement occurs within a week.

What should I do if the skin looks itchy or I suspect a fungal or allergic reaction?

A: If the skin is moist, itchy, has white patches or appears blistered, it may be a fungal infection (especially in warm, moist regions) or allergic reaction. In such cases:

Make sure the area is completely dry before applying new appliance.
Avoid heavy moisturisers under the flange.
Ask your healthcare professional about antifungal powders or alternative pouching system materials.

Can the shape or size of my stoma change and affect the skin?

A: Yes. Stoma size and abdominal contours can change (due to weight fluctuations, surgery healing, hernia development). This can affect how the baseplate fits and may lead to skin problems if not addressed. Regular measurement and correct sizing are important.

When should I seek professional help for skin problems around my stoma?

A: Consult your stoma nurse or healthcare provider if:

The skin remains irritated or broken after 1–2 weeks of proper care.
You have open sores, persistent bleeding around the stoma, or signs of infection (pus, increasing pain, foul smell).
The pouching system is leaking repeatedly despite correct fit and technique.

How can using SIIL Ostomy products help prevent skin problems around the stoma?

A: Products designed specifically for ostomy support — such as belts that stabilise the pouch, breathable wraps that reduce moisture, accessories that allow a flatter skin surface around the stoma — can help maintain a secure fit, minimise leakage risk and protect peristomal skin from irritation. Incorporating them into your daily routine helps preserve healthy skin around the stoma.

Take the Weight Off Your BaseplateSupports bag weight evenly so gravity never tugs on your seal or causes sore peristomal skin.See gentle support →