This topic is about dealing with skin irritation and itching around the tape area when using the Coloplast Sensura/Assura Convexity System. The person experiencing this issue has been using these appliances for six months without any leakage, but recently developed bumpy red lumps and intense itching on the skin where the tape sits. Despite trying Nystatin cream and Stomahesive powder, the itching remained unbearable. Here are some helpful tips and insights shared:

1. Apply calamine lotion to the irritated area and let it dry before putting on the pouch. This can help soothe the skin.

2. If shaving the peristomal skin is part of your routine, consider using a very gentle or organic shaving cream along with a fresh, sharp razor to prevent irritation similar to folliculitis.

3. During appliance changes, rub in a white, creamy diaper ointment and leave it on for a few hours. This can help calm and protect the skin.

4. Try a layering method to manage itchiness and fungal rash:
- Clean the skin and pat it dry, then wipe with Witch Hazel.
- Apply a Sting-Free skin barrier.
- Place an Eakin seal, followed by the wafer.
- For internal support, consider eating yogurt or taking probiotics to help alter stool pH and reduce fungal growth.

By following these steps, you might find relief from the irritation and itching.