This topic is about dealing with intense itching where the stoma meets the skin. Many people with ostomies experience this discomfort and are looking for ways to relieve it. Here are some helpful tips and insights shared by others who have faced similar issues:

1. Consider the itch as a sign that it might be time to change your pouching system. If the itching turns into a stinging sensation, it’s often a cue to replace the barrier or bag.

2. For temporary relief, you can gently run a clean finger around the edge of the base plate or lightly scratch the area outside the flange. This can help until you can do a full change.

3. Make sure to re-measure your stoma at least once a month. If the barrier opening is too small or too large, it can cause friction or leaks, leading to itching.

4. Pay attention to when the itching occurs:
- If it happens after wearing the appliance for a day or two, it might be related to fit or moisture.
- If the itching is constant, it’s important to consult a stoma nurse to prevent skin damage.

5. Common causes of itching include moisture, friction, or excessive dryness. After removing the bag, inspect your skin or take photos to check for irritation, rash, or wetness under the barrier.

6. Some topical products that can soothe irritated parastomal skin include:
- Calamine lotion: Dab it on and let it dry completely before applying a new barrier.
- Sudocrem: Apply a thin layer and blot it so no residue interferes with adhesion.
- Egg whites: As an emergency home remedy, apply and allow them to dry.

7. Differentiate between two types of itch:
- Under-barrier itch often results from an allergic reaction or trapped moisture.
- Deep stoma itch (inside the lumen) is usually temporary and subsides if left alone.

8. If you use a two-piece system, detach the pouch briefly during an itch episode to visually check the skin. This can help you determine whether irritation, wetness, or dryness is causing the problem, allowing you to find the right solution.