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To the dermatologist we go

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Posted 9/14/2012 1:59 PM (GMT 0)
round TWO with the dermatologist.  First time was quite awhile ago when the pyoderma first reared its ugly head.  Now I am going back to see what they think about this "rash" or whatever that has developed under my wafer.  My WOCN has already treated it as a yeast infection - no luck.  Then we made adjustments thinking it was an allergy - nope, no change.  Now a swab test came back with staph infection so we are treating with antibiotics.

I PRAY that they just do a skin scrape to test and don't do one of those punching biopsy things....I want to pee myself just thinking about it.

On another note - I only have SIX of my "girls with guts" bracelet cuffs left if anyone is interested.  Proceeds benefit team Colliers' Crohnies in the Take Steps Be Heard walk in San Antonio.  They are $20 - you can email me for more info m.n.collier AT gmail.com

Posted 9/14/2012 7:31 PM (GMT 0)
Skin scrape it is! Confirmed the rash is from a staph infection. They were not happy with the way my pyoderma was looking, I explained that we had made great progress and then last weekend took about 4months of steps back :( I don't want to wait 4months to get back to where I was so they agreed to do steroid injections directly into the wound. Woosh. The doc did a great job with the injections, I barely felt a thing (they mixed it with lidocaine!). I believe he did 6 separate entries but I wasn't watching so who knows. I'll have to get the record next week and look at his notes.

Hopefully that kicks everything into high gear, the antibiotics continue to kick this staph infection and I can get all healed up. I scheduled an appt. for next month for another round of injections if needed. If not, I will just cancel. Here's hoping - I really want all of this to go away so I can go back in and have my tummy fixed. I know, I know...who WANTS to have surgery after what we have all been through?! THIS GIRL DOES!
Posted 9/14/2012 9:27 PM (GMT 0)
I'm glad to read you got over that bump without having to go through what you most feared. Often, it's not what we most feared, even though we've already been through something we most feared! I wouldn't have watched either.
I hope it clears up as quickly as you want.
Posted 9/14/2012 10:23 PM (GMT 0)
Sounds like you have a great doctor! Hope this is all you need to clear it up. :-)
Posted 9/14/2012 10:46 PM (GMT 0)
Melissa,

I can't believe you still haven't gotten a break from all of this!!! I am so glad they figured out what the rash is. That's huge! Hopefully the steroid injections will kick the pyoderma's butt too.
Posted 9/15/2012 12:30 PM (GMT 0)
Were they able to give you a topical medication in a gel form so your skin absorbs it better and it doesn't interfere with the wafer adhering? We were told or advised when you need a topical med to be sure it is gel based?????
Posted 9/17/2012 8:33 AM (GMT 0)
When you were told it was a yeast infection, how were you treating it? I've been having a raging yeast infection under the wafer for the last 4 months or so and I am having a difficult time treating it.

I understand your frustration of a rash under the wafer. Your confidence in the seal of the pouch greatly diminishes and you never know when it's going to pop. So incredibly annoying!
Posted 9/18/2012 1:00 AM (GMT 0)
uc_free - I hope this is the trick too!  How many rounds of injections did you do?

Another UC Wife - first I was using betamethasone with is a topical steroid, it is an ointment - not the best combo with an ostomy, but I have a KICK ASS WOCN and she taught me how to make one heck of a crust with stoma powder and cavilon.  I've only had one "incident" since doing this crusting thing and it was no fault of the ointment - I had switched bags thinking my skin irritation was a contact allergy.  Well, that bag did NOT work for me LOL!  I have most recently been using tacrolimus ointment and we do the same "crusting" routine with it.

RiddleMe - first we tried the micronozale (sp?) powder and crusted over it.  We like the crust LOL!.  I then did 2 weeks of oral diflucan and NOTHING happened.  It was then that my doc knew it wasn't yeast.  We then started treating it as contact dermatitis/allergy and I started trying all new pouches.  I also did a skin patch test with the pouches I had been using and after a week I had no reaction - so, we knew it wasn't an allergy.  They swabbed the area and it came back staph.  Then when derm scraped it confirmed staph.

I'm sorry you are dealing with that - are they sure it is a yeast infection?  My doc told m that after 3 days on the oral stuff you should see a DEFINITE change and if not then it is 99% sure NOT yeast?

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