Topic Explanation:
Elaine is seeking help for itching under her ostomy wafer. She has tried various solutions suggested by an ostomy nurse but is still experiencing itching and redness around the base of her stoma.

Advice and Insights:
- Consider the possibility of a yeast infection and ask a doctor about Nystop Topical Powder.
- If the stoma is too close to the skin, it can cause irritation and itching. Seeking a gastroenterologist or surgeon's opinion for a minor revision may help.
- Try using seals to get a snug fit around the stoma. Ask the ostomy nurse for free samples to find the most suitable option.
- Consider using stoma paste, but ensure it adheres to the red area around the stoma.
- Use 2% miconazole antifungal powder if there is a possibility of a yeast infection, and consider using a silicone-based skin barrier wipe.
- If the skin is inflamed and the barrier ring doesn't adhere, seek advice from an ostomy nurse or dermatologist.
- Consider trying Hollister's CeraPlus appliance, which is designed to be gentle on the skin.
- Experiment with different products and consider presenting ideas to manufacturers for potential improvements in ostomy care.
- Consider using zinc powder and a skin barrier as usual to alleviate itching and redness.
- Check if the barrier wipe being used is causing an allergic reaction and consider trying a different one.
- Inquire about the name of the zinc powder being used by another ostomate experiencing similar issues.