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Dec 02, 2023

Itchy After Changing My Bag - Anyone Else?

This topic is about someone experiencing intense itching for about 30 minutes after changing their ostomy bag. The itching goes away after this period and doesn't come back until the next change. Here are some helpful insights and advice for managing this situation:

1. The itching stops after the initial 30 minutes and doesn't return until the next change.
2. The person uses a no-sting skin-prep "lollipop" wand on all skin that will contact the wafer and has smaller barrier wipes but rarely uses them.
3. They occasionally experience skin break-outs near the stoma, so they are cautious about not using a barrier at all.
4. They plan to try using the wipes on the next change day.
5. They are curious if calamine lotion might help and if a witch-hazel rinse affects the adhesive's strength.

Advice and insights include:

- Possible causes:
- Early itching might be a mild allergic or irritant reaction to the adhesive or residue from previous products.
- Persistent or later-on itching could indicate leakage or seepage under the wafer.

- General skin-care steps:
- Allow the skin to air-dry for a few minutes before applying the wafer.
- Use an adhesive remover first, then cleanse. Some people use witch hazel to wipe the area and report no loss of adhesion.

- Adjust or reduce barrier products:
- Too much skin-prep can cause tightening and pulling, leading to itchiness. Try applying a very thin coat or skip it once to see if it helps.
- If skipping completely is not an option, consider trying a different style, such as switching from the "lollipop" wand to standard no-sting barrier wipes.

- Try other pouching brands/formulas:
- People with sensitive skin have reported less itching with Hollister’s ceramide-infused wafers (Hollister CeraPlus line).
- Test products from all three major manufacturers to find the least irritating adhesive.

- Topical soothing options:
- Apply calamine lotion or pure aloe on irritated peristomal skin, but avoid the wafer area to maintain adhesion.

- Monitoring:
- If itching continues into the next day, it might be a sign of seepage, and changing the appliance sooner could be necessary.
See full discusison
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