Thanks you so much for the PEG tips. I was told not to put a dressing on as my doctor said it was best to let it breathe. My cleaning routine is to take a warm shower and let soap and water rinse over it, then afterwards I gently blot it with wet gauze or q-tip, as that is what they suggested. The skin irritation is on the bottom of the site where it stays moist the most. The pain seems to be from a hard lump of hematoma under the skin on the upper portion of the insertion site. The doctor keeps trying to break it up (I'm guessing that is his strategy all I know is that whatever he does is quite painful), but it is still there and painful from any movements.