This topic is about dealing with some common challenges faced by people using ostomy appliances, specifically focusing on preventing the build-up of sticky residue from an Eakin Cohesive Seal and managing severe itching around the stoma. Here are some helpful tips and advice to address these issues:

1. Gentle Cleansing Routine
- Use an adhesive remover, like Coloplast Adhesive Remover, to take off the flange instead of scrubbing.
- In the shower, let warm water gently flow over the area, avoiding direct pressure on the stoma.
- Use a clear plastic cup filled halfway with warm water to softly rinse away any residue without causing trauma.

2. Soothe and Protect the Skin
- After washing and drying, apply Calamine lotion to the entire peristomal area and let it dry completely.
- Use a skin protectant, such as Coloplast Skin Barrier Wipes, before applying a new barrier.
- If the itching and burning are severe due to acidic output, lightly dab liquid Mylanta (an antacid) on the irritated skin to neutralize the acid. This can provide immediate relief and help the skin heal, allowing barriers to adhere better.

3. Manage Output Consistency
- If the stool is too thick and prone to pancaking, increase your water intake to keep the output looser, so it flows into the pouch instead of compressing against the seal.

4. Appliance and Product Checks
- Consider the possibility of a sensitivity or developing allergy to Hollister products. If the itching continues, try another brand.
- Contact Convatec, the manufacturer of the Eakin Cohesive Seal, to ask which adhesive-removal product they recommend for removing a liquefied Eakin ring without causing skin trauma.

5. General Tip
- Resist the urge to scratch. Instead, schedule an earlier change if the itch becomes intense, using the gentle removal and skin-soothing steps mentioned above.