Itching Under The Flange (skin Barrier)

For individuals with ostomies, managing skin irritation under the flange is a common yet challenging issue. Based on the discussions from the MeetAnOstoMate Discussion Forum, here are the summarized advice and insights for managing itching under the flange (barrier):

1. Use protective liquid skin barriers like Cavilon 3343e to protect the skin around the stoma and alleviate irritation.
2. Consider changing to a different make of pouch or try free samples to see if it helps with skin irritation.
3. Use calamine lotion and stoma powder, along with an adhesive spray on the skin and wafer, to prevent itching and ensure pouch adhesion.
4. Ensure the bag gets dry after a shower and use powder for athlete's foot to prevent moisture-related skin issues.
5. Consider using pouches with manuka honey in the base glue, which can be anti-allergenic and help with skin sensitivity.
6. Try using Eakin Cohesive Seals to protect the skin around the stoma from moisture and ensure adhesion.
7. Avoid using lotion around the appliance as it may affect adhesion.
8. Change the barrier and pouch when the skin starts to itch or burn to prevent irritation.
9. Use calamine lotion to alleviate skin irritation, ensuring it dries sufficiently before applying the pouch.
10. Give the skin as much air time as possible before applying the new pouch to aid in healing and prevent irritation.
11. Use skin protective wipes, stoma powder, and barrier spray to provide a base for wafer adhesive to stick to.
12. Experiment with different products and brands to find what works best for individual skin sensitivity.
13. Consider using Nystatin powder or Topicort Gel to alleviate skin irritation and promote healing.
14. Seek advice from a dermatologist if skin problems persist.
15. Use TETRIX cream, skin barrier cream, and adhesive paste to protect and heal the skin around the stoma.
16. Consider using barrier rings, skin barrier liquids, and adhesive paste to find the right combination for individual needs.
17. Use gauze sponges and air out the skin to promote healing and prevent irritation.

If the issue persists, it's advisable to seek advice from an ostomy nurse or healthcare professional for personalized solutions.

Check out these links for more information:

• Itching Around Stoma & Pouch: Any Solutions? (February 06, 2019)
• Anyone else experiencing itching with Coloplast two-piece system? (January 28, 2013)
• Relief for Flange Rash: Cutting Tape for Redness (March 26, 2020)
• Managing Leaks: Barrier Rings and Flange Adherence (March 18, 2023)
• Need advice for itching near stoma under plastic (May 01, 2014)
• Help! Clear slimy liquid causing flange issues (June 26, 2022)
• Flange/Barrier Cleaning Tips (May 08, 2019)
• Ileostomy itching near stoma - seeking advice (February 04, 2019)
• Relief for Itching Under Barrier (February 28, 2019)
• Help with Chronic Diarrhea and Leaking Barrier (December 11, 2017)