This topic is about dealing with intense itching that occurs beneath the plastic flange near the stoma. Here are some helpful tips and advice to manage and alleviate this discomfort:

1. The most common cause of itching is a leak beneath the wafer or flange.
- Change the appliance immediately rather than waiting for the usual change day.
- Inspect the removed wafer for any seepage, especially on the downslope toward the incision, navel, or midline.

2. Follow a thorough cleaning and drying routine when changing the appliance:
- Shower with a gentle spray over the stoma, wipe with a clean wet washcloth, and then dry thoroughly.
- Use the wafer as a fan or a hair-dryer on a cool or warm setting to ensure the skin is completely dry before reapplying.

3. Hair-related irritation can also cause itching:
- Shave peri-stomal hair regularly; a few razor passes often stop itching if the flange seal is still good.

4. Stay hydrated:
- Dehydration can intensify itching. Increase your water intake, and opt for plain water rather than sports drinks.

5. Consider topical soothing and skin protection options:
- Use fresh aloe plant gel or calamine lotion (allow to dry, then apply a skin barrier).
- Try 3M Cavilon barrier film or pads between the skin and wafer.
- Hollister Skin Gel Protective Dressing Wipe #7917 allows multiple layers—ensure each layer dries until no tackiness remains.
- Coloplast Barrier Cream can help with irritated or rashy skin.
- Stomadhesive powder can be dabbed with skin-prep for general irritation; repeat layers if needed.
- For rashes, use the “crusting” technique: light dusting of powder, then pat with Cavilon or another barrier wipe; repeat.

6. Manage yeast or candidiasis if leakage causes a fine red rash:
- Use an antifungal powder (e.g., nystatin or a less-expensive foot powder) applied lightly, then pat a barrier film over it.
- Avoid alcohol-containing prep pads on broken skin to prevent stinging.

7. Consider adhesive sensitivity:
- If there’s itching without leakage or hair issues, suspect an adhesive allergy.
- Try a skin prep layer (e.g., Hollister #7917) or switch pouching systems or brands; most manufacturers provide free samples.

8. Give your skin some “air time” during changes:
- Leave the area uncovered for 20-30 minutes, catching any output with tissue; this often calms itching.

9. Miscellaneous tips:
- Avoid adhesive remover wipes if they cause reactions.
- Use mild, fragrance-free soap only.
- Monitor the underside of the stoma for trapped tissue, pressure sores, or blisters; treat sore spots with Stomadhesive powder.