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Sep 16, 2024

Severe Itching and Redness Post-Ileostomy Surgery

Topic Explanation:
The discussion revolves around severe itching and redness experienced by an individual approximately 6 weeks post-ileostomy surgery. The symptoms are occurring over the entire body, with specific irritation noted around and under the wafer and barrier strips used in their ostomy care. The individual uses Hollister wafers and Brava Elastic Barrier strips and is seeking advice on hypoallergenic products due to suspicions of an allergic reaction.

Advice and Helpful Insights:
1. Product Sensitivity and Alternatives:
- Consider switching to different brands and products, as you might be allergic to the ones currently used. Brands like Coloplast, ConvaTec, Safe n Simple, and Marleen are suggested alternatives.
- Obtain free samples from various manufacturers to test for allergic reactions on a different part of the abdomen before using them around the stoma.

2. Skin Care Techniques:
- Ensure the skin is clean and completely dry before applying any ostomy products.
- Use less product if possible to minimize potential irritants.
- Some individuals find relief by spraying Flonase on the itchy area after cleaning and drying the skin, then using a hair dryer to speed up the drying process before applying the ostomy bag.

3. Medication and Treatments:
- Taking antihistamine tablets such as Zyrtec or Aerius (Desloratadine Tablets UPS, 5 mg) can provide relief from itching. These medications can also help with other allergic reactions if present.
- Liquid calamine lotion or calamine spray can be applied to the tape edge or skin before applying the wafer to alleviate itching.

4. Environmental Considerations:
- Humidity can exacerbate skin irritation and itching. Adjusting the care routine seasonally or according to the local climate might be necessary.

5. Process of Elimination:
- If using multiple products (e.g., adhesive remover wipes, barrier wipes, stoma powder, barrier rings, barrier strips), consider eliminating one product at a time to identify the potential cause of the allergic reaction.

6. Professional and Community Support:
- Consult with an ostomy nurse for personalized advice and possibly to get samples of different products.
- Engage with online communities and resources such as the United Ostomy Association of America for additional support and information.
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