Mon. Jan 24th, 2022

Stoma Granulomas: What are They

Granulomas are a benign growth that does happen, especially around or on the stoma. They’re common, oftentimes considered a nuisance, and usually are good to be removed. 

They do cause bleeding, which does loosen the adhesive of this, and it causes leaks. 

They can also create discomfort, since they interfere with the template of your stoma, leading to bad-fitting appliances. 

While problematic, they’re harmless, but you should always make sure that you check these out and have the stoma care nurse tell you how to manage. 

We’ll discuss here how to recognize these things, and the best way to treat this if they do occur. 

About Granulomas 

Typically, granulomas look like small, raised, red bumps that occur around your stoma. 

They usually occur at the area where the stoma meets skin but can be found on the stoma themselves. 

Sometimes, they’re not obvious, but the can cause bleeding, which may push you to look at the stoma as well. 

Usually, it’s either a single granuloma, or several of these, from small to large, and the may experience more extensive ones that affect larger areas. 

They typically occur because your ostomy appliance isn’t fitting right, which means that it rubs against the stoma part, causing irritation, friction, and sores that are created on the skin. 

It can be infected as well if you do rub against the skin in many cases. In some instances, problems with the healing after surgery is the cause of this. 

How to Treat 

A big part of how to care for these, is of course to check to make sure the stoma appliance fits well. 

You should contact the stoma care nurse to check the template size that’s used, and also check to make sure it’s not rubbed against the stoma. 

There should be a couple millimeters space that’s around there, to ensure that the hole edge is not rubbing against the stoma, and so that the contents don’t leak to the skin. 

There is also Orabase protective paste, which is the most effective way to treat this, since usually it involves silver nitrate. 

You can also buy it on your own using a silver nitrate pencil or stick. You press this against the granulomas, and then get rid of them completely. Do this at home, or once a week, or over a period of four weeks, with the progress assessed each and every week. 

They may also put a seal with some pressure after the silver nitrate treatment, which may press down on this. 

Another type of appliance, including the moldable flange is used to lessen the friction risk to the stoma that’s there when pressed against the template. 

The treatments may work, but if not successful, there is cryotherapy which involves freezing that tissue that has granulomas. Depending on the severity, they may consider cauterization, which involves using heat to destroy the affected area. If it’s bleeding heavily or affecting a wide area, it may involve a surgery for re-treatment. 

This can reoccur though despite the fact that they’re treated. If they’re not causing bleeding or discomfort, leave them, and then monitor them. But if they are painful, or if they’re bleeding and making you discomfort, then you should contact a stoma care nurse in order to take a look at them, and from there determine what type of care is needed for this next, since it can negatively affect the area, and it may become worse if not left treated. 

Usually, they’re harmless, but they’re a growth that isn’t fun, and lots of people prefer removal of them.