You should never hesitate to consult your ostomy nurse as soon as you experience skin problems or complications. However, spotting signs of leakage early can help you stop a potential skin problem even before it develops.
Start by looking for ostomy output, either on your skin or on the back of the barrier upon removal. Even if there is no direct visual sign of leakage. Be aware of anything unusual, such as if the barrier looks 'melted' (because the barrier may have reacted with the output).
Potential signs of mechanical irritation
If your skin is red, sore and moist, maybe even bleeding a little, but you have not had any leakage, the issue could be 'mechanical'. That means your skin is potentially being irritated from removing the pouch too often, too vigorously, or from cleaning or scrubbing the skin too roughly.
To avoid mechanical irritation, try to be as gentle as possible, both when removing your barrier and when cleaning the skin. Try to peel the barrier off slowly, rather than ripping or tearing off. Using a "push-pull" technique can help reduce stress on the skin.
Information from Coloplast Care is for educational purposes only. It is not intended to substitute for professional medical advice and should not be interpreted to contain treatment recommendations.
You should rely on the healthcare professional who knows your individual history for personal medical advice and diagnosis.