To all the tubie mommas and tubie daddies out there, I was able to stumble across a wonderful combination of ingredients. I recently spoke to a fellow tubie momma who used to use a cream called Greer's Goo on her daughter's G tube stoma. After some research, I was able to find out that the cream has zinc oxide (diaper rash cream), hydrocortisone 1% (anti-inflammatory cream), and nystatin (antifungal). The only prescription portion of this recipe is the nystatin.
Since Ian has a Nystop nystatin powder prescription, I combined about 1/4 of a container with his prescription triamcinolone cream (also an anti-inflamatory cream) along with about 2 ounces of Calmoseptine, an OTC cream notorious for G tube irritation. Calmoseptine is 20% zinc oxide and very similar in nature to diaper rash cream. It also has some cooling menthol in the mix.
I mix all three of these together. Ian typically gets the Nystop powder, Traimcinolone cream daily and occasionally gets the Calmoseptine when red and irritated. Now, I am able to save some steps and do everything at once. I combined the ingredients and noticed an improvement right away. We apply this recipe twice daily to his G tube site.
Leaving other "names" out, I also stumbled across a fellow blogger who uses a similar combination. OTC hydrocortisone 1%, OTC zinc oxide diaper rash cream, and OTC clotrimazole cream (another antifungal). This recipe was created at home by a practicing pharmacist.
I apply the new recipe twice daily and hope to continue to see improvement. Ian's G tube gets tugged and pulled at times during his continuous feeding hours. He also wears a G tube protective belt to shield any extra tugging and a G tube protective pad.
Combining all of these together, Ian's G tube stoma has really never looked better. For some, it will be easier to get the Greer's Goo cream as a prescription; however, this cream must be compounded and needs to have a special pharmacy nearby.
*** As always, it should go without saying that none of this should be considered diagnostic, or therapeutic advice. It is simply what has worked for my tubie and a few others and I wanted to share. This information should never replace the care of a licensed medical professional. ***