This topic is about dealing with two common issues faced by people with an ileostomy: severe itching around the stoma and persistent fatigue, possibly due to nutrient absorption challenges. Here are some helpful tips and insights shared by others who have experienced similar issues:

1. To alleviate itching around the stoma, try using witch hazel. It's a widely available and affordable option that can be dabbed on the skin around the stoma to reduce itching and prevent skin damage. Many have found it effective over the years.

2. Consider using Stomahesive paste around the flange or wafer to create a better seal. This can help prevent the corrosive output from the ileostomy from reaching the skin, which is a common cause of itching. Also, changing your appliances more frequently might help.

3. If the itching is occurring only at the outer edge of the wafer, lightly dusting the area with Gold Bond Medicated Powder can provide relief.

4. It's not unusual to feel itching while changing the flange. Applying witch hazel during each change can offer relief, especially if antifungal ointments haven't worked for you.

5. If you still experience itching under an intact wafer, it might be due to microscopic leakage. Monitoring the fit of your appliance and changing it sooner might help address this issue.