A stoma is a permanent opening into your body, a small amount of leakage daily of clear body fluid from the stoma in normal. Daily washing of the stoma in the shower using an antibacterial soap and a soft brush if required may be all that is required. Swimming in salt water or using Epsom Salt’s in a bath can be beneficial. Hype granulation is a common condition of the skin of the Stoma, it looks like hard bumpy or granular skin and forms beyond the surface of the stoma opening. If it causes pain it can be removed by your GP using Silver Nitrate to cauterise the growth.