This topic is about dealing with persistent itching around the stoma area for someone who has an ileostomy and uses a convex wafer. The person has been experiencing itching shortly after changing their pouching system, which wasn't an issue before. Here are some suggestions and insights that might help:

1. Ensure a leak-free seal:
- It's possible that output is getting under the ring and causing irritation. Trying different barrier rings or stoma paste might help. You can request free samples from manufacturers to find a product that fits snugly around the stoma.

2. Consider fungal or yeast treatment:
- Itching in a warm, damp area might be due to a fungal infection. Lightly dust the area with an antifungal powder like Nystop or a 2% miconazole powder, and make sure to wipe off any excess so the wafer can stick properly.

3. Change more often:
- Some people find that changing their pouching system more frequently, such as every two days, helps stop the itching and prevents the barrier from breaking down.

4. Evaluate stoma height:
- If the stoma is flush or retracted, it might be causing output to stay against the skin. In some cases, a minor surgery to adjust the stoma height can help reduce irritation.

5. Check for product sensitivities:
- Allergies to adhesives can cause symptoms similar to a yeast infection. Consider switching to gentler options like Brava Skin Barrier Wipe or Hollister CeraPlus wafer.

6. Additional tips:
- After cleaning and drying the skin, dab it with a barrier wipe and let it dry completely.
- If regular cleaning doesn't help, try briefly swabbing the area (avoiding the stoma) with rubbing alcohol, then rinse and apply a barrier wipe. This might sting but can be effective for stubborn itching.
- Keep experimenting with zinc-containing powders, as some people have found them helpful.
- Continue using Head & Shoulders shampoo or Flonase spray if they provide any relief, but many have found better results with antifungal treatments and improved sealing techniques.

Elaine has also scheduled an appointment with her GI doctor and surgeon for further evaluation, which is a good step to take.