This topic is about a peculiar sensation that some people with a stoma experience. It's an itching or tingling feeling that seems to come from inside the stoma itself, rather than from the skin around it. When the pouching system is removed, the skin looks healthy and doesn't itch, which makes this sensation a bit of a mystery. Here are some insights and advice from others who have experienced this:

1. Some people notice this internal itch or tingle right before or during an output. It might just be the bowel's natural reaction to the upcoming effluent.

2. If the itch happens at the same time as output, it's usually harmless and can be considered a normal sensation for some people with a stoma.

3. Sometimes, a small amount of stool or moisture can sneak under the edge of the wafer, causing itching even before the skin shows any irritation. Changing to a new pouching system often stops the itch for those who experience this.

4. A practical tip is to change the entire appliance when the internal itch starts. If the sensation goes away, it was likely caused by minor leakage.