This topic is about dealing with persistent itching and pain around dissolvable stitches near a stoma, and concerns about whether the wafer is leaking. The person is three weeks post-surgery and is experiencing some discomfort and uncertainty. Here are some helpful insights and advice:

- Itching is a common experience as long-term dissolvable stitches break down. Sometimes, the ends of the stitches may work themselves out. Taking oral antihistamines like Benadryl can help reduce the itchiness.

- It's normal to feel some annoyance until the stitches fully dissolve. Mild tenderness, especially at the "12 o'clock" and "3 o'clock" positions, is typical if the skin looks healthy otherwise.

- If shampoo runs over the stoma, it's generally harmless. The bigger concern is soap residue, which can weaken the adhesion of the flange. Many people find that orange Dial antibacterial bar soap rinses off without leaving residue, while others have success with Cetaphil Gentle without adhesion issues.

- You will usually notice a leak by smell before seeing any output under the wafer. Odor can serve as an early warning sign.

- During visits, stoma nurses may either remove the pouch themselves or ask the patient to do so for educational purposes. Both practices are normal.

- To protect the skin around the stoma when minor leaks occur, applying 3M Cavilon Barrier Film before placing the wafer can help. Many users report that it keeps the skin intact even when small leaks go unnoticed.

- The appearance of sutures can vary, and itching and skin tightening are expected parts of the healing process. If the stitches are causing sores, it's important to consult with a stoma nurse or surgeon.