This topic is about someone who has been experiencing persistent itchy, blistering skin around their stoma since June 2022. They have had an ileostomy for four years without any issues until now. Despite trying various treatments, the problem persists, and they are seeking specialist care. Here are some insights and advice shared by others:

1. The person suspects an infection rather than an allergy to the appliance. They are considering going to Urgent Care for a culture since their VA primary-care doctor won't order one.

2. They have scheduled an appointment with a local dermatologist and will pay through Humana.

3. A likely diagnosis could be impetigo, which is caused by Staphylococcus or Streptococcus bacteria. It is important to:
- Urgently see a dermatologist or physician who can perform a culture and sensitivity test.
- Start targeted oral or topical antibiotics based on the test results.

4. While waiting for professional care:
- Clean the affected area with an antiseptic wipe or wash during each appliance change.
- Increase the frequency of barrier changes to maintain cleanliness and allow antiseptic contact time.

5. If the current VA physician is unhelpful, consider switching to a more responsive general practitioner or paying for private care, as VA clinicians may lack specific experience with ostomies.

6. If an infection is ruled out, consider the possibility of contact dermatitis from the current pouching system. In this case, trying a different brand or product line might help.

7. Some online home remedies for superficial Staph infections might offer temporary relief, but they should not replace professional medical treatment.

8. It is crucial to address the condition promptly and seek immediate professional attention. Members stress the importance of not letting the condition worsen and encourage reporting back on the outcome.