Next consider the big picture. In addition to indicating an internal problem, symptoms like these may be contributing to peristomal skin irritation. Be sure to call your physician. Finally, you need to pay attention to how you apply your pouch, skin protection or catheter anchoring system. Be certain you have adequate lighting and take the time to carefully center the system.
Most people find standing to be the best position.
If you wear bifocals, it may be easier for you to look in a mirror to apply the system because of the tendency to place the center too high. In the case of a feeding tube, be sure it is anchored properly. In the case of a pouch, smooth out the adhesive from the center outward. Allow your hand to rest over the pouch for a few minutes to enhance the adhesion. Be sure the closure clip or spout is secure.