<s>[INST] My aunt has undergone a colostomy operations 7 years ago. In the beginning everything was fine but for the past 2-3 years she is experiencing severe burning near that area. Red rashes have developed all over her stomach mostly near the operated area which is causing excessive burning. These rashes are like when anyone gets bruised and the top skin peels off leaving the inner red layer exposed. Not only that the whole skin around her stomach has become extremely sensitive. Could you pls suggest a way to get rid of these rashes ????? Pls reply urgently. [/INST] Hello. Thank you for writing to USI suggest a possibility of irritant dermatitis due to digestive juices that COE into contact with skin. Specifically for the rashes I suggest you to use a topical moderately potent steroid e.g. mometasone furnace or fluticasone propionate, twice daily for a few days. Topical steroids are anti-inflammatory and would help resolve the rashes. These are prescription products, therefore, I suggest that you talk to your doctor for the needful. Once these rashes resolve, I suggest you to use a barrier cream, containing zinc oxide, dimethicone etc. and smear it on skin surrounding stoma so to create a protective layer. That would prevent digestive juices from coming in direct contact with skin. Regards </s>