Redness around your ostomy site can be caused by several factors, including irritation, infection, or an allergic reaction. Here are some common reasons for redness around an ostomy:

1. Skin Irritation: The adhesive from the ostomy appliance can sometimes cause skin irritation, especially if it’s not fitted correctly or if the skin is sensitive. Frequent changing of the appliance or using harsh adhesives can also lead to irritation.
2. Leakage: If the ostomy bag leaks, the output (stool or urine) can come into contact with the skin, causing irritation, redness, or even burns. The enzymes and acids in the output can be harsh on the skin.
3. Infection: Redness, warmth, swelling, and pain around the ostomy site can indicate an infection. An infection could occur if bacteria get into the skin around the stoma, possibly from leakage or improper cleaning.
4. Allergic Reaction: Some people are allergic to certain adhesives, tapes, or skin barriers used in ostomy care products. This can cause redness, itching, and rash around the stoma.
5. Mechanical Irritation: The skin can become red if there is friction from the ostomy appliance rubbing against the skin, especially if the pouch is too heavy or not secured properly.
6. Fungal or Yeast Infection: The warm, moist environment around the stoma can sometimes lead to fungal or yeast infections, which can cause redness, itching, and a rash.

What You Can Do

• Check the Fit: Ensure that your ostomy appliance fits properly and that there is no leakage. The opening in the skin barrier should match the size of your stoma.
• Maintain Skin Hygiene: Gently clean the skin around the stoma with water and a mild soap, avoiding harsh scrubbing. Pat the area dry before applying a new ostomy appliance.
• Use Skin Protectants: Barrier creams, powders, or wipes designed for ostomy care can help protect the skin from irritation.
• Avoid Allergens: If you suspect an allergic reaction, consider changing the type of adhesive or product you’re using. There are hypoallergenic options available.
• Monitor for Infection: If you notice signs of infection (increased redness, warmth, swelling, pus, or a foul smell), it’s important to contact a healthcare provider immediately for appropriate treatment.
• Seek Professional Help: Consult a stoma care nurse or your healthcare provider for a proper assessment and recommendations tailored to your specific situation.

If the redness persists or worsens, it’s important to seek medical advice to determine the exact cause and appropriate treatment.