Ostomy Care: Fragrance-Free Wipes, Are They Necessary?

Ostomy care is a crucial but rarely discussed topic. About 1 in 500 Americans have a stoma, which is a surgical opening in the abdomen that allows waste to exit the body. A pouch is placed over the stoma to collect waste, and it is important to have certain supplies on hand to maintain proper hygiene and comfort. One of the key considerations when choosing wipes for ostomy care is whether they need to be fragrance-free.

Fragrances in wipes and other personal care products can contain chemicals that may irritate the sensitive skin around the stoma. It is important to avoid anything that may cause skin irritation, especially for those with allergies or sensitive skin. Therefore, it is generally recommended to use fragrance-free wipes for ostomy care to reduce the risk of skin irritation and other issues. However, some people may find that certain fragranced wipes work well for them, as long as they are gentle and designed for sensitive skin. Ultimately, it is important to consult with a healthcare professional to determine the best products for one's individual needs.

Wipes for ostomy care: to use or not to use?

Ostomy care is a sensitive topic that requires careful consideration and consultation with medical professionals. The use of wipes is an important aspect of this routine, and it is essential to prioritise the health of the skin around the stoma.

The Benefits of Using Wipes for Ostomy Care

Wipes can be a convenient and effective way to clean the skin around a stoma, especially when changing the ostomy bag. They offer a gentle and portable solution for maintaining good hygiene and can be easily carried for use on the go.

Some specific benefits of using wipes include:

• Ease of use: Wipes are simple to use and can be conveniently accessed when changing the ostomy bag.
• Portability: Wipes are often individually packaged, making them ideal for travel and ensuring a quick and efficient clean-up process.
• Skin protection: Wipes can help create a protective layer on the skin, shielding it from the damaging effects of stoma leakage, which may include redness, soreness, and infection.
• Smooth adhesion: By creating an even surface, wipes can enhance the adhesion of the ostomy system, reducing the risk of leaks and associated skin issues.

Factors to Consider When Using Wipes

While wipes offer benefits, there are also some considerations to keep in mind:

• Fragrance and ingredients: It is generally recommended to avoid wipes with strong fragrances or moisturisers, as these can irritate the sensitive skin around the stoma. Fragrance-free, hypoallergenic, and alcohol-free wipes are often preferred.
• Compatibility: Some manufacturers advise against using wipes with certain ostomy products, particularly extended-wear systems. It is important to check product recommendations and consult a healthcare professional before combining different products.
• Adhesion issues: While wipes can aid adhesion, they may also leave residue that affects the adhesion of the ostomy wafer. It is crucial to ensure that the skin is thoroughly cleaned and dried after using wipes to prevent this issue.
• Allergic reactions: With the combination of multiple products, it can be challenging to identify specific ingredients causing skin irritation or allergic reactions.

Alternative Options for Ostomy Care

In addition to wipes, there are alternative options for ostomy care:

• Barrier sprays: These can be applied directly to the skin to create a protective layer, prevent leaks, and reduce skin irritation.
• Adhesive removers: They help remove adhesive residue and make ostomy pouch removal easier.
• Soft, dry wipes with warm water: This combination is recommended for cleaning the skin around the stoma, followed by thorough drying.
• Gauze and water: Gauze can be used instead of wipes, especially for cleaning up residue left by other products.

The decision to use wipes for ostomy care depends on individual needs and preferences. While wipes offer convenience and ease of use, it is vital to prioritise skin health and consult healthcare professionals to determine the most suitable products and routines for your specific situation.

What are the pros and cons of using wipes for ostomy care?

Pros

Ostomy wipes can be used for an easy clean-up when changing an ostomy bag. They can also be used to clean the bag after emptying it. Wipes can be convenient and easy to grab in a hurry.

Cons

Some sources advise against using wipes, especially baby wipes, as they can leave a residue that prevents a good seal from forming. This residue can also irritate the skin. It is also possible to develop a sensitivity to the ingredients in wipes.

Tips

If you do use wipes, it is recommended to use wipes that are fragrance-free and hypoallergenic. It is also important to ensure that all residue is removed after using wipes.

What type of wipes should be used for ostomy care?

When it comes to ostomy care, it is important to use the right products to avoid skin irritation and ensure the ostomy bag adheres properly. The skin around the stoma can be sensitive, so it is important to choose wipes that are gentle and free from harsh chemicals.

Types of Wipes to Use

• Soft, dry wipes: These can be dipped in warm water to clean the stoma and the surrounding skin. Dry wipes are also useful for drying the skin after cleaning.
• Mild or fragrance-free soap: If you prefer to use a soapy wipe, choose a mild, fragrance-free option and be sure to rinse the skin afterward. Avoid anything that may irritate the skin, including strong soaps and products containing moisturisers, fragrances, or alcohol.
• Adhesive remover wipes: Adhesive remover wipes are useful for removing the old adhesive from the skin when it's time to change the ostomy bag. Look for options that are sting-free and alcohol-free.
• Skin barrier wipes: These can be used to create a protective layer on the skin around the stoma, helping to prevent leaks and skin irritation from adhesives.

Types of Wipes to Avoid

• Baby wipes: While some people do use baby wipes, they often contain chemicals that can irritate the skin. They may also leave a residue that interferes with the adhesion of the ostomy wafer.
• Wet wipes: Wet wipes, especially those containing lanolin and fragrance, can irritate the sensitive skin around the stoma.

It is always a good idea to consult with a healthcare professional before choosing products for ostomy care, as they can advise on products that are safe and effective for your individual needs.

How to use wipes for ostomy care?

Using wipes is an important part of ostomy care. They can be used to clean the skin around the stoma and to remove adhesive residue. Here is a step-by-step guide on how to use wipes for ostomy care:

Step 1: Choose the Right Wipes

It is important to choose wipes that are safe to use on the skin around the stoma. Fragrance-free, hypoallergenic, and alcohol-free wipes are generally recommended to reduce the risk of skin irritation. There are wipes specifically designed for ostomy care, but some people also use baby wipes or dry wipes.

Step 2: Prepare the Skin

Before using wipes, it is important to wash the peristomal skin with an oil-free, unscented soap and wait for the area to completely dry. This ensures that there is no residue or oil on the skin that could interfere with adhesion.

Step 3: Apply the Wipes

Gently apply the wipe to the skin around the stoma, creating an even layer. If using a dry wipe, you can wet it with water before application. Avoid rubbing the skin too vigorously, as this can cause irritation.

Step 4: Allow the Skin to Dry

After applying the wipe, wait for the solution to fully dry before proceeding. This is an important step to ensure that the wafer and pouch will adhere properly.

Step 5: Apply the Wafer and Pouch

Once the skin is clean and dry, you can proceed with applying the wafer and pouch according to the manufacturer's instructions. Ensure that they are securely adhered to the skin to prevent leaks.

Step 6: Dispose of the Wipes Properly

After use, dispose of the wipes properly. Do not flush wipes down the toilet unless they are specifically labelled as flushable.

Step 7: Monitor the Skin

If you experience any redness, weeping, bumps, or a rash, discontinue use and consult your doctor. This may be a sign of skin irritation or allergy to the ingredients in the wipes.

By following these steps, individuals with ostomies can effectively use wipes for skin cleansing and adhesion improvement as part of their ostomy care routine.

What are some alternatives to using wipes for ostomy care?

While wipes are a popular option for ostomy care, there are several alternatives that can be used to clean and protect the skin. Here are some options:

• Barrier sprays: These are designed to be applied directly to the skin around the stoma to create a protective layer. They help prevent leaks and skin irritation caused by adhesives. Some examples include the Brava Skin Barrier Spray and Cavilon No-Sting Barrier Film Spray.
• Barrier rings or seals: These products are crucial for ostomy care as they protect the skin from discharge and reduce the risk of infection and irritation. They can be moulded into various shapes to prevent leakage and ensure a snug fit for the ostomy pouch.
• Adhesive removers: They ensure pain-free removal of barrier rings or seals. Adhesive removers come in various forms, such as wipes, ointments, and sprays.
• Underpads: These are disposable or reusable coverings that protect furniture, bedding, or upholstery from any accidental discharge. Underpads make clean-up easier and provide reliable, waterproof protection.
• Ostomy barrier paste: This product is used to fill small gaps or pockets between the skin and the barrier ring, preventing leakage and skin irritation.
• Gloves: Disposable gloves can be worn during ostomy bag changes to maintain hand hygiene and avoid the hassle of washing hands after each step.
• Lubricant: Applying lubricant inside a new ostomy bag can prevent the build-up of faecal matter at the top of the bag. Many lubricants also contain deodorizers to neutralize odours.
• Ostomy pouch deodorizer: In addition to the built-in air filters, using a deodorizer provides extra protection against unpleasant smells.
• Support belt: A fabric belt that wraps around the abdomen to securely hold the ostomy bag in place, especially when sleeping, running errands, or exercising.
• Protective powder: This powder is used to absorb moisture and protect the sensitive skin around the stoma from irritation and infection. It also extends the life of barrier rings and seals by keeping the area dry.
• Gauze sponges: Clean gauze can be used to cover the stoma during ostomy bag changes, preventing discharge from coming into contact with the skin and reducing the risk of bacterial or viral infections.
• Soft paper towels: Soft, disposable paper towels can be used for drying hands or wiping surfaces clean. They offer a convenient alternative to regular towels and eliminate the need for laundry.
• Disposable washcloths: These provide a more thorough cleaning option than paper towels or wipes. It is important to always use a clean washcloth to prevent the risk of infection.
• Laundry detergent: Accidents and leaks are common with ostomy bags, and having a good detergent on hand can make clean-up easier and less frustrating.

Frequently asked questions