I get the burning, had an infection, that made the skin raw, and the stomach acids seep out a little at night when I'm on my side sleeping. As suggested, washing, drying, I use peroxicide sometimes after, then cream either Bactrim, neosporin, or anti fungal, depending on infection the doctor prescribed, turn the tube to another position, and gauze under, over button, which helps, but I'm not 100% following through.