This topic is about dealing with extreme itchiness of the skin around a stoma, especially after consuming acidic foods like wine, vinegar-based dressings, or sauerkraut. The itchiness can be quite uncomfortable and difficult to manage since scratching is not an option. Here are some helpful tips and insights shared by others who have experienced similar issues:

1. **Early Warning of Leakage or Breakdown**
- Persistent itching often indicates that the output has compromised the wafer. It's important to change the pouch or wafer immediately when this happens.
- Acidic output, hot weather, or high activity levels can cause the wafer to erode faster, so consider shortening the wear-time.

2. **Inspect and Protect the Skin When Changing**
- When removing the appliance, check for any softened or undermined edges of the wafer. Make sure to clean and dry the skin thoroughly.
- Use stoma powder for routine protection. A product that was mentioned is Hollister Skin Barrier Spray No. 3344E.

3. **Antifungal Treatment for Red, Weepy, or Chronic Itch**
- Itching can sometimes be due to a yeast or fungal infection. Here are some options:
- Over-the-counter antifungal sprays, like Lotrimin, can be helpful.
- Fungal powders can be applied during each wafer change.
- Increasing dietary intake of acidophilus or yogurt may help control yeast from within.

4. **Antiseptic Barrier Suggestions**
- Use Mercuroclear, a modern antiseptic, around the stoma (but not directly on it) with a Q-tip. Dry the area with a cool or warm hair-dryer before resealing the pouch.

5. **Alternative Appliance Systems**
- Some people have found relief by switching to Cymed pouches with the PLUS wafer, which contain additives that inhibit microbial growth.

6. **Additional Skin-Soothing Measures**
- Cleanse the area with Witch Hazel at every change to help reduce irritation.

By following these practices, such as prompt changes, antifungal care, protective barriers, and possibly switching to different products, many have found relief from the itching associated with acidic output.