How can pH balance be the secret to protecting the skin around your stoma? It’s a question many ostomates may find themselves asking when dealing with common skin irritations associated with ostomies.
Living with an ostomy can be quite an adventure! From mastering the art of appliance changes to navigating the world of specialised products, ostomates become experts in self-care. But amidst all the considerations, one might not expect pH balance to play a starring role in maintaining healthy skin around the stoma.
In this blog post, we will delve into the significance of pH balance and its impact on peristomal skin for ostomates, providing practical tips on maintaining a balanced pH and promoting optimal skin health. Get ready for some pHun tips on keeping that delicate skin in top-notch shape while rocking your ostomy like a champ!

Peristomal Skin: Understanding pH Balance and Its Importance for Skin Health
pH balance might sound like a chemistry class flashback, but it’s actually a crucial factor in keeping our skin happy and healthy. Let’s break it down in simpler terms: pH measures how acidic or alkaline something is on a scale from 0 to 14. A pH of 7 is neutral, below 7 is acidic, and above 7 is alkaline. Our skin’s natural pH hovers around 5.5, making it slightly acidic.
This acidity is like a shield, protecting our skin’s barrier function and keeping it in tip-top shape. Disrupting the skin’s pH balance can compromise this barrier, leading to a range of skin issues, such as dryness, redness, inflammation, and increased susceptibility to infections. So, when it comes to skincare, remember that pH balance is the name of the game.
The Significance of pH Balance for Peristomal Skin
Now, let’s talk about pH balance in relation to ostomates. While maintaining skin pH is important for everyone, it can be particularly challenging for ostomates. You see, the waste material produced by your stoma, which contains digestive enzymes and acids, can be a bit on the high pH side.
Prolonged exposure to this high-pH output can throw off the skin’s natural pH balance and cause some trouble. And just when you thought the stoma was the only pH culprit, here comes the adhesive products used to secure the ostomy appliance, adding their own pH impact to the mix.

Common Skin Irritations Triggered by Ostomies
Ostomates can be susceptible to various types of skin irritation, which can cause discomfort and potentially lead to more significant issues if left unaddressed.
Some common skin irritations experienced by ostomates include:
Irritant Contact Dermatitis
Prolonged exposure to stoma output or adhesive products can irritate the skin, leading to redness, itching, and inflammation. The skin may appear dry, flaky, or develop small bumps. Improper cleansing or the use of harsh soaps can also contribute to this type of irritation.
Allergic Contact Dermatitis
Some individuals may develop an allergic reaction to certain materials used in ostomy products, such as adhesives, pouches, or barrier rings. This can result in redness, itching, rash, and blisters. Identifying and avoiding the specific allergen is crucial in preventing further irritation.
Candidiasis (Yeast Infection)
Moisture and warm conditions around the stoma area can create an ideal environment for yeast growth. Candidiasis can cause redness, itching, and a rash with raised borders. Proper hygiene, including keeping the area clean and dry, prevents and manages yeast infections.
Mechanical Trauma
Friction or rubbing from ill-fitting or improperly positioned ostomy appliances can cause mechanical trauma to the skin. This can result in skin breakdown, ulcers, or even pressure sores. Ensuring a proper fit and using appropriate techniques during appliance changes can help minimise the risk of mechanical trauma.
Folliculitis
Inflammation of hair follicles around the stoma can occur due to clogging or infection. This can result in small red bumps or pustules. Maintaining good hygiene and avoiding harsh or pore-clogging products can help prevent folliculitis.
Tips for Maintaining pH Balance and Promoting Skin Health
Here are some practical tips to help you maintain pH balance and promote optimal skin health:
Choose the Right Ostomy Products
When selecting ostomy appliances such as pouches and adhesive barriers, opt for those explicitly designed to be skin-friendly and pH-balanced. Look for products labelled as “pH-balanced” or formulated specifically for peristomal use. These products are carefully formulated to maintain the skin’s natural pH and minimise the risk of irritation or damage.
Cleanse with Care
When cleansing the peristomal skin, it’s important to avoid harsh soaps, cleansers, or wipes that can disrupt the skin’s pH balance. Instead, opt for mild, pH-neutral cleansers or simply use warm water to cleanse the area gently. Harsh cleansers can strip the skin of natural oils and disturb its delicate pH balance. After cleansing, pat the area dry with a soft towel, not rubbing or irritating the skin.
Ensure Proper Fit of Ostomy Appliances
A proper fit of your ostomy appliance is crucial for maintaining the pH balance of the peristomal skin. Make sure that the pouch’s opening matches your stoma’s size and shape, creating a proper seal and preventing leakage or skin irritation. A well-fitted appliance helps minimise contact between the stoma output and the skin, reducing the risk of pH imbalance and related skin issues.

Maintaining the pH balance of peristomal skin relies on ensuring a proper fit of your ostomy appliance.
Use pH-Balanced Skin Moisturisers
Applying a pH-balanced moisturiser to the peristomal skin can nourish and protect it. Look for moisturisers specifically formulated for sensitive skin or labeled as pH-balanced. These moisturisers help restore and maintain the skin’s natural pH balance, providing essential hydration and promoting overall skin health. Avoid moisturisers with harsh chemicals or fragrances that may irritate the skin.
Avoid Prolonged Exposure to Moisture
Excessive moisture around the stoma can disrupt the skin’s pH balance and increase the risk of skin irritation or breakdown. Ensure that your ostomy appliance is properly sealed to minimise contact with moisture. Consider using moisture-absorbing powders or barrier creams, if necessary, to help keep the skin dry and maintain its pH balance.
Practice Proper Diet and Hydration
A balanced diet and adequate hydration are significant in maintaining overall health, including skin health. Incorporate foods that promote a healthy pH balance, such as fresh fruits and vegetables. Drinking sufficient water helps maintain hydration levels and supports healthy skin. Proper diet and hydration contribute to the overall well-being of your peristomal skin.
Monitor and Manage pH-Altering Medications
Some medications can impact the body’s pH balance, possibly indirectly affecting the peristomal skin. If you’re taking medications that can alter pH levels, it’s essential to consult your healthcare professional. They can provide guidance on potential effects and recommend appropriate measures to maintain the pH balance of your skin.
Take Care during Appliance Changes
During ostomy appliance changes, it’s crucial to be mindful of the contact time between the skin and the stoma output. Promptly clean the peristomal area using gentle cleansers or warm water, and apply a protective barrier or skin prep to maintain the skin’s pH balance. These precautions create a barrier between the skin and the stoma output, minimising the risk of pH imbalance and related skin complications.
Choose underwear specifically designed for ostomates
Choosing underwear specifically designed for ostomates, such as VERA SA underwear, can significantly improve and prevent skin conditions around the stoma area. These specialised undergarments are thoughtfully crafted to address the unique needs of ostomates, providing comfort, support, and protection.
VERA SA underwear incorporates innovative features that promote skin health. The fabric used is soft, breathable, and moisture-wicking, allowing air circulation and preventing excessive moisture buildup that can disrupt the skin’s pH balance.
The seamless design and gentle elastic bands ensure a snug yet comfortable fit, reducing friction and irritation against the peristomal skin. VERA SA underwear also includes a discreet built-in pocket or pouch to securely hold the ostomy pouch in place, preventing unnecessary movement and minimising the risk of leakage. This feature helps maintain the pH balance of the peristomal skin by minimising contact with the stoma output.

Stay Hydrated
Drinking an adequate amount of water is vital for maintaining overall hydration, including your skin’s hydration. Well-hydrated skin is more resilient and less prone to damage. Hydration supports the skin’s natural functions and helps maintain its pH balance. Ensure enough fluids in your daily routine to support optimal skin health.
Consult a Healthcare Professional
If you notice any changes in the peristomal skin, such as redness, itching, or signs of infection, it’s important to consult your healthcare professional. They can provide expert guidance on managing skin issues and recommend suitable products or treatments to restore the skin’s pH balance. Professional advice and support are invaluable in ensuring the long-term health of your peristomal skin.
Conclusion
Maintaining the skin’s pH balance surrounding your stoma is crucial for promoting healthy peristomal skin.
By carefully selecting ostomy products, practising gentle cleansing techniques, ensuring a proper fit for your appliances, taking precautions during appliance changes, staying hydrated, and seeking professional advice, you can protect your peristomal skin from pH imbalances and associated skin issues.
Remember, a balanced pH leads to healthier skin and enhances your overall well-being as an ostomate.
Vera SA is a proud partner of CANSA and The South African Society of Ostomates.
Contact VERA SA at 082-833-9200, email info@verasa.store, or log onto
https://www.verasa.store/ for more information.
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