This topic is about dealing with itchy skin under an ostomy wafer and whether it's necessary to change the appliance early. The person experiencing this has an ileostomy and recently changed their pouching system. They are now feeling some itching but haven't noticed any leakage. They're wondering if they should change the appliance sooner than planned.

Here are some helpful insights and advice:

1. Itching under the wafer is quite common and often just a mild skin reaction to the adhesive. It usually goes away on its own.
- It's okay to gently scratch around the edge of the wafer.
- If there's no leakage, you can stick to your usual schedule for changing the appliance, which is every 3 to 4 days. Only consider changing it early if the itching becomes too uncomfortable.

2. When cutting the opening for the stoma, it doesn't have to be a perfect circle. An oval shape is fine, and any jagged edges will typically smooth out once the wafer is applied.

3. For cleaning up adhesive residue, use Medical Adhesive Remover Wipes. This will help remove leftover glue without the need for scraping.

4. If the itching persists, it might be due to a fungal skin irritation. In such cases, treating the skin can be beneficial and worth the effort.