Judy:
I am tickled pink that the Tegraderm has offered you a modicum of relief. This bodes well that the CyMed products will work well for you, as the micro-skin wafer/flange is similar in composition to Tegraderm.
To answer your questions . . .
The reason to change the Tegraderm every 24 hours is to avoid trapping wound exudate under the Tegraderm.
A healing wound excretes serous fluid and dead WBCs and lymphocytes. Removing the Tegraderm serves as an effective debridement of the wound bed. Pulling the Tegraderm off and away cleans the wound bed, allowing for the budding of new, healthy granulation tissue.
After removing the Tegraderm, take a shower and allow a gentle stream of warm water to run over the wound bed. You can clean the area with a glycerin-based soap, using the tips of your fingers. Do not use a wash cloth to clean or scrub the area. You can use a small gauze pad to clean the outer edges of the wound, removing any crusted exudate. The wound will heal with new granulation tissue from its outside edges inward to the center of the wound.
Another idea . . .
I routinely use witch hazel to clean parastomal skin which is intact (no cuts or open areas). Moisten a cotton ball with witch hazel and dab on the skin. It is soothing. Be forewarned: Do not use witch hazel on skin that is highly irritated or open/cuts/fissues. You will experience an intense and unpleasant stinging sensation.
If dehydration remains a concern, consider the Cera-Lyte products. Cera-Lyte is superior in osmolality, absorption, and electrolyte replacement than Gatorade or Pedialyte. Cera-Lyte 70 is the product formulation recommended for re-hydration for ileostomies. It comes in single-serve packets as a powder that you mix with water or juice. It tastes quite good and is refreshing.
I believe the website is:
http://www.ceralyteproductsinc.comSending you healing energy.
Dear friend to Bella Piazza, former Colon Club member (NWGirl).
I have a permanent ileostomy and offer advice on living with an ostomy - in loving remembrance of Bella
I am on Palliative Care for broad endocrine failure + Addison's disease + osteonecrosis of both hips/jaw + immunosuppression. I live a simple life due to frail health.