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Itchy skin under the tape (ileostomy)

Posted by Mars1954, on Fri Jan 27, 2017 10:55 pm

I have itchy skin under the tape around the appliance. I have had the ileostomy for nearly 3 years. I have no leaks and the itchiness is not under the flange. It is under the tape. Any ideas of what I can do? I also use fungal powder before installing the appliance. Is it possible I have developed an allergy to the tape (part of the Hollister appliance)?

 

Reply by Xerxes, on Fri Jan 27, 2017 11:08 pm

That would be my guess. Have you changed your brand of wafers?

 

X_

Reply by NJ Bain, on Sun Jan 29, 2017 11:56 am

Mars,

  I know what you're going through but I do not have a solution.  I've used Convatec drainable pouches all of my life.  For 9 years, I had no issues with the tape that anchors down the wafer.

  On the 10th year, I had the itchiness just under the tape and my skin would weep yellow serous fluid, stain the tape and the tape would slough off.  The itchiness was so bad, my ears would ring.  I was told by my ET nurse to check with the manufacturer to see if there was a change in the ingredients on the adhesive for the tape.  But that had no results.

  I then spoke to an allergist and asked the same question.  You CAN develope allergies over time.  And that seemed to be the case for me.  I then just started cutting the tape off of the wafer and I haven't had an issue since.

  I know there have been other posts about this and other people have different solutions.  Might want to check those out.

 

Bain

 

Reply by Ewesful, on Mon Jan 30, 2017 7:18 pm

I developed allergic reactions to all but paper tape.   And the paper tape is not a super adheasive but it works.   You can also swap to another bag for awhile.   Is the barrier wipe the cause?  I have had issues with all but the Smith and Nephew brand. That can react with the tape as well.   Good luck

Reply by Immarsh, on Tue Jan 31, 2017 1:25 am

Hi ,

It's not unusual to develop an allergy to a product or tape.   I use Convatec, and have not problem with the tape on the flange, although I'm allergic to most adhesive tapes.    The best paper tape I've used is   Scanpoor ( a BARD product) but hasn't been available  by my new distributor...   I'm trying new tapes...but still like Scanpoor the best.   Someone suggested that you cut off the tape around the flange, and see if that works.   Just use another tape to anchor the flange to the skin.   lYou also say that you use a fungal powder... That may be causing the itching.   I use an ostomy powder....that helps with healing and itching.   You might want to try that.   Stay in touch, and let us know if you find a solution. 

Best regards,

Marsha

 

Reply by Marsone, on Tue Jan 31, 2017 3:33 am

Hi Marsha,

I'm Marsha too, aka Marsone. I had a quick question if that's ok. I get itchy like crazy under my adhesive on the bag. Was that what you have or other tape? I already knew I had issues with tape so almost anything I put on to help it adhere was awful.

i switched to a one piece by Coloplast for my Urostomy. I use a two pice by Hollistet for the Colonoskopy. 

Have u had success with a product that's less itchy? 

Thanks, 

Marsha too

Thanks

 

Reply by LadyHope, on Tue Jan 31, 2017 11:34 pm

Hi Marsha, I also have issues with skin/wafer irritation.  It occurs mostly during the warmer months.  I think the adhesive reacts with my skin.  I have tried everything but what is most helpful is baby powder around the area. It helps absorb the moisture during the warmer months.  Thank you for the post.  Take care.  LH

Reply by Marsone, on Sat Feb 04, 2017 8:36 am

Hi Lady! Thx for getting back to me! I hesitate to try baby powder but I guess I should just do it! 

 However, I'm thinking the baby powder would keep the adhesive from sticking...do u use additional tape? 

Becuz I have 2 stomas & a hernia, the tape doesn't lay flat & creates havoc. Also...breast get in the way in seeing it. Ugh! 

I need too read your story & f you have questions or just want to chat, I'd like that. Bless You!

Reply by DonBrown1943, on Sat Feb 04, 2017 6:05 pm

Convatec as well as a couple other companies market powders that protect the skin at the same time as acting as an adhesive. I use Convatec because that's what the hospital sent home with me and I just stayed with it. The skin must be clean and dry. Sprinkle the powder wherever you need adhesive, being particularly sure to cover the itchy tender skin areas. Then use a tissue to brush excess powder off until you can barely see a thin coating of the powder. Apply your water or one-piece appliance and you should be good to go. You might want to try different company brands to find the one that works best for you.

Reply by DonBrown1943, on Sat Feb 04, 2017 6:07 pm

Please replace the word water with the word wafer.

Reply by iMacG5, on Mon Feb 06, 2017 12:09 am

Hey folks, I'm thinking the tape you refer to is the adhesive on the perimeter of the flange.  I struggled with that for a while and followed a recommendation to cut the tape where the irritation begins.  So now the perimeter of the flange tape might be interrupted in a couple places exposing bare skin that might be irritated.  The sections I cut out were about a half to three quarters of an inch long.  It worked very well for me and it's been OK for a couple years now.

I hope this makes sense.  If not I'll rewrite in something that resembles english.

DonBrown's method also works but we might want to apply a couple layers.  It's called "crusting" and it's been very effective. 

Good luck,

Mike



Last edited by iMacG5 on Mon Feb 06, 2017 12:20 am; edited 1 time in total
Reply by iMacG5, on Mon Feb 06, 2017 12:19 am

Hey LH, what you describe seems to happen from the skin trying to move and the adhesive preventing it.  It's not too unlike when we were kids and put our hands next to each other on someone's forearm and twisted them in opposite directions.  The skin between the hands got irritated.  Maybe this just happened in Catholic schools.  The adhesive tape might have a similar effect and, if we cut separations in it, it might relieve the stress on the skin.

I'm almost positive I'm not making a lot of sense but hopefully it's enough to suggest a simple remedy.

Good luck,

Mike

Reply by LadyHope, on Mon Feb 06, 2017 12:20 pm

Hi IMacG5, Thank you so much for the insight.  I will keep aware and let you know if my skin improves.

Marsha, I am sorry if I confused the situation.  I do not place baby powder under my wafer, only on the skin around the wafer to absorb moisture, especially in the Summer months.  Any powder on the peristomal skin prior to securing the flange in place, will not allow the flange to adhere properly.  Sometimes, I will sprinkle some ostomy powder around the stoma after my flange in secure to help absorb any extra liquid when I am changing my pouch.  I apologize for the confusion.   Also, if you would like to ask me any questions about living with an ostomy, feel free to send an email or answer this post.  Currently, I am not a full member so I can't initiate a private chat.  Take care.  Sincerely, LH

Reply by Sasquatch, on Mon Feb 06, 2017 5:09 pm

Mars,

I'm also getting the same issues with the itchiness, also using Hollister wafers.  They've given me some samples of some tapeless wafers that seem to be better.  I think I may have an allergy to the tape, I know band-aids sometimes irritate my skin.  You might try calling them to see if they can give you some samples to try.  Good luck getting it all sorted out.

 

Sasquatch

 

 

Reply by LadyHope, on Mon Feb 06, 2017 11:55 pm

I apologize...I mistyped....the second part of my post was answering Marsone and her question about using baby powder.  Thanks.

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