This topic is about someone who has been living with an ileostomy for 2½ years without any issues but has recently started experiencing intense itching and burning under the tape portion of their Hollister appliance. The irritation is not under the flange and is not due to leakage. They are already using fungal powder before applying the appliance and are curious if an allergy to the tape can develop after years of uneventful use. They are seeking advice and ideas from others.

Here are some helpful insights and advice:

1. It is possible to develop a new allergy after long-term use, especially for individuals with autoimmune issues or cancer. Similar late-onset allergies to tapes, adhesives, latex, and tight garments have been reported.

2. Consider switching to an appliance that does not have peripheral tape. Some users have found relief by using Hollister tapeless skin barriers.

3. Hollister CeraPlus skin barriers might be a good option. They have a built-in ceramide conditioner and do not require a separate adhesive, making them suitable for sensitive skin.

4. You can create a protective "dry" skin barrier before applying the wafer or tape. Convatec Stomahesive Powder can act as both a barrier and a light adhesive. Apply it generously over the area that will contact the adhesive, dust off with a dry tissue until only a thin film remains, and then apply the wafer.

5. Clean the peristomal skin with water only. Avoid using soaps that can leave a residue and potentially trigger or worsen reactions.

6. Use antifungal and stoma powders sparingly. Using too much, such as Nystatin 100,000 IU powder, can prevent the flange from sealing properly.

7. If the reaction is severe or involves weeping, it is advisable to see a dermatologist. Medical treatment combined with eliminating the offending tape resolved one person's case.

The poster also plans to consult a stoma nurse due to the severity of the itching and is managing other medical needs, including 12-hour-per-day TPN, a PEG tube, and the ileostomy.