{"id":3380,"date":"2025-05-26T22:07:43","date_gmt":"2025-05-26T22:07:43","guid":{"rendered":"https:\/\/www.eakinostomy.com\/?page_id=3380"},"modified":"2025-07-09T09:53:23","modified_gmt":"2025-07-09T09:53:23","slug":"stoma-granulomas","status":"publish","type":"page","link":"https:\/\/www.eakinostomy.com\/US\/healthcare-professionals\/stoma-granulomas\/","title":{"rendered":"Stoma granulomas"},"content":{"rendered":"<div class=\"background-block relative overflow-hidden\" style=\"background-color: #f6f6f6\">\n        <div class=\"relative z-20\">\n        <div class=\"acf-innerblocks-container\">\n\n<div class=\"hero\">\n            \n    <div class=\"absolute w-full z-[39] pt-2\">\n        <div class=\"pt-2 container mx-auto relative breadcrumbs px-4 \">\n            <div class=\" flex items-center flex-wrap\">\n                <span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Home.\" href=\"https:\/\/www.eakinostomy.com\/US\" class=\"home\" aria-current=\"page\"><span property=\"name\">Home<\/span><\/a><meta property=\"position\" content=\"1\"><\/span>            <\/div>\n        <\/div>\n    <\/div>\n        <div class=\"acf-innerblocks-container\">\n<div class=\"hero-slide glide__slide\">\n    <div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h1 class=\"wp-block-heading has-purple-600-color has-text-color has-link-color wp-elements-aee8937d29803c5796b0d269993e6dfb\">How to manage stoma granulomas<\/h1>\n\n\n\n<p>A stoma granuloma is a mass of hyper-granulation tissue that can form on or around a patient\u2019s stoma.<\/p>\n<\/div><\/div>\n\n\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1870\" height=\"1326\" src=\"https:\/\/www.eakinostomy.com\/wp-content\/uploads\/2025\/05\/granulomas.png\" alt=\"\" class=\"wp-image-2683\" srcset=\"https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas.png 1870w, https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas-300x213.png 300w, https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas-1024x726.png 1024w, https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas-150x106.png 150w, https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas-768x545.png 768w, https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas-1536x1089.png 1536w, https:\/\/www.eakinostomy.com\/US\/wp-content\/uploads\/sites\/19\/2025\/05\/granulomas-600x425.png 600w\" sizes=\"auto, (max-width: 1870px) 100vw, 1870px\" \/><\/figure>\n\n<\/div>\n<\/div>\n\n<\/div>\n    <div class=\"glide-navigation-container\">\n        <div class=\"glide-navigation hidden\">\n            <div class=\"glide__bullets\" data-glide-el=\"controls[nav]\"><\/div>\n            <div class=\"glide__arrows\" data-glide-el=\"controls\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"spacer\n    h-8    lg:h-12\"\n>\n<\/div>\n\n\n\n<p class=\"text-xl lg:text-xl\">The exact cause is often unknown<sup>2<\/sup>, but infections, inflammation, irritants, and foreign objects are all common contributors for stoma granulomas. These can include:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-purple-checkmark\">\n<li class=\"text-xl lg:text-xl\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-purple-600-color\">Sutures <\/mark><\/strong>\u2013 from retained fragments, or a reaction to the suture material<sup>1,2,4<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-purple-600-color\">Repeated trauma<\/mark><\/strong> \u2013 from the opening of the ostomy appliance and\/or the patient\u2019s application or removal technique<sup>2,5<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-purple-600-color\">Chronic irritation<\/mark><\/strong> \u2013 from exposure to faecal output<sup>2,5,6,7<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-purple-600-color\">Tight clothing or belts<\/mark><\/strong> \u2013 which create friction in and around the mucocutaneous or stomal area.<sup>2<\/sup>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-purple-600-color\">An allergic reaction<\/mark><\/strong> \u2013 to the stoma bag material<sup>5<\/sup><\/li>\n<\/ul>\n\n\n<div class=\"spacer\n    h-8    lg:h-8\"\n>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading has-teal-600-color has-text-color has-link-color wp-elements-0e8b806bbd68d523e80563528beb9488 text-center lg:text-center\">Tips for preventing and managing granulomas&nbsp;&nbsp;<\/h2>\n\n\n\n<p class=\"text-xl lg:text-xl\">Although silver nitrate (which cauterises granulomas) is the most common treatment option for stoma granulomas, you can also help your patients make effective choices to minimise irritation and even prevent granulomas from occurring in the first place. These include:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-teal-checkmark\">\n<li class=\"text-xl lg:text-xl\"><strong>Decreasing friction and trauma (to prevent bleeding)<sup>2<\/sup><\/strong>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Making sure their ostomy appliance fits correctly \u2013 resizing the stomal opening if you need to, or adding an <a href=\"https:\/\/www.eakinostomy.com\/US\/product-category\/stoma-seals\/\" data-type=\"product_cat\" data-id=\"21\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-teal-600-color\">ostomy seal<\/mark><\/a><sup>2,3,4<\/sup><\/strong>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Applying a barrier paste to the mucocutaneous junction<sup>2<\/sup><\/strong>&nbsp;<\/li>\n\n\n\n<li class=\"text-xl lg:text-xl\"><strong>Avoiding tight fitting clothing and belts over the peristomal and stomal area<sup>2<\/sup><\/strong><\/li>\n<\/ul>\n\n\n<div class=\"spacer\n    h-8    lg:h-8\"\n>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading has-purple-600-color has-text-color has-link-color wp-elements-7181143eff8a60b682d8a3f109476b87 text-center lg:text-center\">Guidance and resources<\/h3>\n\n\n\n<p class=\"text-center lg:text-center text-xl lg:text-xl\">We\u2019ve gathered the latest data to help you, and your patients, manage stoma granulomas. You\u2019ll also find tips for preventing them, and the innovative <strong>eakin<sup>\u00ae<\/sup><\/strong>\u202fproducts that can help.<\/p>\n\n\n <div class=\"row\n                container mx-auto        px-4 py-0 lg:px-4 lg:py-0    \">\n    <div class=\"acf-innerblocks-container\">\n\n\n<div class=\"card mx-auto\">\n        <div class=\"card-body\">\n                    <h4>eakin<sup>\u00ae<\/sup>\u202fseals and granulomas booklet <\/h4>\n                <div class=\"flex-1\">\n                                <p><span class=\"TextRun SCXW130183824 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-parastyle=\"heading 2\">Find out<\/span><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-parastyle=\"heading 2\"> how<\/span><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-charstyle=\"apple-converted-space\">\u202f<\/span><\/span><span class=\"TextRun SCXW130183824 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW130183824 BCX8\" data-ccp-charstyle=\"Strong\">eakin<\/span><\/span><span class=\"TextRun SCXW130183824 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun Superscript SCXW130183824 BCX8\" data-fontsize=\"11\" data-ccp-charstyle=\"Strong\"><sup>\u00ae<\/sup><\/span><\/span><span class=\"TextRun SCXW130183824 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-charstyle=\"apple-converted-space\">\u202f<\/span><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-parastyle=\"heading 2\">seals<\/span><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-parastyle=\"heading 2\"> have helped stoma care nurses to successfully manage previously problematic stoma <\/span><span class=\"NormalTextRun SCXW130183824 BCX8\" data-ccp-parastyle=\"heading 2\">granulomas.<\/span><\/span><\/p>\n                    <\/div>\n                    <a class=\"btn btn-gradient\" href=\"https:\/\/www.eakinostomy.com\/us\/wp-content\/uploads\/2025\/05\/eakin-seals-and-granulomas-digital-master.pdf\">\n                Read here            <\/a>\n            <\/div>\n<\/div>\n\n\n\n\n<div class=\"card mx-auto\">\n        <div class=\"card-body\">\n                    <h4>eakin\u202ffreeseal<sup>\u00ae<\/sup> for managing granulomas case study <\/h4>\n                <div class=\"flex-1\">\n                                <p><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">See the data on how switching to an <\/span><\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-charstyle=\"Strong\">eakin<\/span><\/span> <span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-charstyle=\"Strong\">freeseal<\/span><\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun Superscript SCXW20111586 BCX8\" data-fontsize=\"11\" data-ccp-charstyle=\"Strong\"><sup>\u00ae<\/sup><\/span><\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-charstyle=\"apple-converted-space\">\u202f<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">has <\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">impacted<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\"> the<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\"> quality of life <\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">for a patient<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\"> experiencing peristomal skin complications and <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">hypergranulation<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">.<\/span><\/span><\/p>\n<h6><em><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-charstyle=\"Strong\">*eakin<\/span><\/span> <span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-charstyle=\"Strong\">freeseal<\/span><\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun Superscript SCXW20111586 BCX8\" data-fontsize=\"11\" data-ccp-charstyle=\"Strong\"><sup>\u00ae <\/sup><\/span><\/span>is not currently available in the US.<\/em><\/h6>\n                    <\/div>\n                    <a class=\"btn btn-gradient\" href=\"https:\/\/www.eakinostomy.com\/us\/wp-content\/uploads\/2025\/06\/eakin-freeseal-CS1.22.pdf\">\n                Read more            <\/a>\n            <\/div>\n<\/div>\n\n\n\n\n<div class=\"card mx-auto\">\n        <div class=\"card-body\">\n                    <h4>eakin Cohesive<sup>\u00ae<\/sup> stomawrap case study<\/h4>\n                <div class=\"flex-1\">\n                                <p><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">Gain an insight into<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\"> how<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\"> our<\/span> <\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-charstyle=\"Strong\">eakin C<\/span><\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-charstyle=\"Strong\">ohesive<\/span><\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun Superscript SCXW20111586 BCX8\" data-fontsize=\"11\" data-ccp-charstyle=\"Strong\"><sup>\u00ae<\/sup><\/span> <\/span><span class=\"TextRun SCXW20111586 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-charstyle=\"apple-converted-space\">\u202f<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">stomawrap<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\"> has <\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">prevented leaks and <\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">halved the number of changes for an active patient with a challenging stoma.<\/span><span class=\"NormalTextRun SCXW20111586 BCX8\" data-ccp-parastyle=\"heading 2\">\u00a0<\/span><\/span><\/p>\n                    <\/div>\n                    <a class=\"btn btn-gradient\" href=\"https:\/\/www.eakinostomy.com\/us\/wp-content\/uploads\/2025\/06\/eakin-Cohesive-Seals-CS2.21-1.pdf\">\n                Read here            <\/a>\n            <\/div>\n<\/div>\n\n<\/div>\n<\/div>\n\n\n<div class=\"spacer\n    h-12    lg:h-20\"\n>\n<\/div>\n\n\n\n<p class=\"text-base lg:text-base\"><strong>References<\/strong><br>1. Beitz, J. M., &amp; Colwell, J. C. (2014). Stomal and peristomal complications: Prioritizing management approaches in adults. Journal of Wound, Ostomy and Continence Nursing, 41(5), 445\u2013454.<br>2. Johnson, T. (2010). Problematic stomas\u2026Stoma granulomas. Colostomy Association Tidings Magazine.<br>3. Salvadalena, G. (2016). Peristomal skin conditions. In J. E. Carmel, J. C. Colwell, &amp; M. T. Goldberg (Eds.) Wound, Ostomy and Continence Nurses Society core curriculum: Ostomy management (pp. 176\u2013190). Philadelphia, PA: Wolters Kluwer.<br>4. Wound, Ostomy and Continence Nurses Society. (2010). Management of the patient with a fecal ostomy: Best practice guidelines for clinicians. Mt. Laurel, NJ: Author.<br>5. Dukes, S., Lowther, C., Martin, T., &amp; Osborne, D. (2010). Guidelines for treating stoma granulomas at the mucocutaneous junction. Gastrointestinal Nursing, 8(1), 16\u201321.<br>6. Burch, J. (2014). Care of patients with peristomal skin complications. Nursing Standard, 28(37), 51\u201357. http:\/\/dx.doi.org\/10.7748\/ns.28.37.51.e8317<br>7. Lyon, C. C., &amp; Beck, M. H. (2012). Chapter 97. Skin problems in ostomates. In L. A. Goldsmith, S. I. Katz, B. A. Gilchrest, A. S. Paller, D. J. Leffell, &amp; K. Wolff (Eds.), Fitzpatrick\u2019s Dermatology in General Medicine, 8e.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The exact cause is often unknown2, but infections, inflammation, irritants, and foreign objects are all common contributors for stoma granulomas. These can include: Tips for preventing and managing granulomas&nbsp;&nbsp; Although silver nitrate (which cauterises granulomas) is the most common treatment option for stoma granulomas, you can also help your patients make effective choices to minimise [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":1241,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3380","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/pages\/3380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/comments?post=3380"}],"version-history":[{"count":0,"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/pages\/3380\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/pages\/1241"}],"wp:attachment":[{"href":"https:\/\/www.eakinostomy.com\/US\/wp-json\/wp\/v2\/media?parent=3380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}