We describe two cases of peristomal inflammation which resulted in pain, poor adhesion of the stoma bag and faecal leaking. The inflammation did not respond to regular cleaning and barrier film sprays, but dramatically improved with the application of a beclometasone dry powder aerosol inhaler sprayed onto the inflamed skin around the stoma site. A steroid inhaler was used to decrease the peristomal inflammation without affecting the adhesion of the stoma bag which could be caused by creams.