Itchy bag? questions

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Carlow
Regular Member


Date Joined Sep 2007
Total Posts : 113
   Posted 2/26/2008 10:08 PM (GMT -6)   
Hey all,

I just had my initial jpouch surgery thursday and I'm now home from the hospital. I had a quick question about my bag. The WOCN helped me change it on monday and she said it was a good fit etc etc but in the future to be careful about the bag leaking/burning/itching my skin. I noticed last night that it itched a little but it wasn't to the point where I couldn't sleep. I woke up and there were no leaks, but still had an occasional itch throughout the day. Now I'm not sure about this but looking into the bag I swear the flange (the part that attaches to your skin) is lipping up and over the stoma. I can't really tell now because I've looked at it too much today. I told myself if it itches anymore I'd change it (first time on my own, so I'd rather wait) and call the ostomy nurse tomorrow. However I thought I'd check here for any additional comments or advice just in case. Thanks guys.
Diagnosed Fall of 2004
(Scheduled for Stage 1 of IPAA in late February:Complete!)

Meds:
Prednisone (10mg taper)


EricaM
Regular Member


Date Joined Jan 2007
Total Posts : 184
   Posted 2/26/2008 10:36 PM (GMT -6)   
I develope yeast infections every once in awhile under my wafer and it itches!
Erica
Crohn's and Ostomy in 2004


Ash83
Regular Member


Date Joined Nov 2007
Total Posts : 128
   Posted 2/26/2008 10:48 PM (GMT -6)   
Carlow,
 
Welcome back! Glad to hear you're home and recovering well. Itchiness can mean a few different things.
 
1. You could possibly have the start of a leak. Meaning the stool got under the wafer around the stoma and is sitting on your skin causing it to itch.
 
2. You could have a skin sensitivity to the particular brand of flange that you're currently wearing.
 
3. Yeast Infection
 
 
Where exactly is it itching at? If your skin is itchy where the tape is or far from the stoma site, it may be a skin allergy/sensitivity to the product. If it's itchy in the immediate area surrounding the stoma, stool either got under the wafer or the wafer broke down too much and isn't protecting your skin anymore. 

Carlow
Regular Member


Date Joined Sep 2007
Total Posts : 113
   Posted 2/26/2008 10:53 PM (GMT -6)   
Hey Ash, yeah, its itchy right around the stoma. Every hour or so I get the urge to nudge it a bit and then it goes away. I'm using a two stage convatec surefit.
Diagnosed Fall of 2004
(Scheduled for Stage 1 of IPAA in late February:Complete!)

Meds:
Prednisone (10mg taper)


Ash83
Regular Member


Date Joined Nov 2007
Total Posts : 128
   Posted 2/27/2008 9:11 AM (GMT -6)   
Can you see the skin around your stoma? Sometimes it's difficult getting a good fit around the stoma in the beginning. It's so important though. You want the wafer to be as close to the stoma as possible, without actually touching it but showing no skin either. I think most recommend 1/8 of an inch from the stoma.

I used to get the itchies bad in the beginning. I would press down around the flange by the stoma and the pressure would make it feel better. Best solution is to just change the bag, clean the skin well and get rid of all stool residue. Are you using a skin barrier before putting the wafer on?

I use 3M Cavilon no sting barrier film swabs. They're like little lollipops. They protect your skin from the stool and also help the wafer to stick better.

I hope you find relief soon, the itchies are the devil!

praying4healing
Veteran Member


Date Joined Dec 2007
Total Posts : 739
   Posted 2/27/2008 7:44 PM (GMT -6)   
ash! that statement always gets to me! lol as close to the stoma as possible, with no skin showing, without touching the stoma, how is that possible?! I get a pretty snug fit, but then no skin is showing, and the flange does touch the base of my stoma. Is this bad? If i cut it a little bigger, then i see skin, and thats my major fear b/c i dont want the stool to irritate me
25 y/o female- crohns disease since 14
Ileostomy pending-very worried
Tried asacol,pentasa,prednisone,remicade,6mp,azasan, no avail
Seatons placed
Worst year ever!

"For God has not given us the spirit of fear....."
Where does mine come from?!
 
Temp Ileostomy performed 1/29/08
Still Adusting
 
Healingwell.com has been my Godsend...Thank you


Ash83
Regular Member


Date Joined Nov 2007
Total Posts : 128
   Posted 2/27/2008 7:51 PM (GMT -6)   
Praying,

Are you getting leaks or itchiness? If you're not then it's fine. Sometimes I don't cut the opening enough and it's a little snug against the stoma, but by the end of the day the flange gives a little so it's fine.

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 2/27/2008 8:56 PM (GMT -6)   
Carlow - try rinsing your bag out with cool water. Sometimes the little bit of stool on the skin causes itchies and once it is rinsed off -- RELIEF. That should get you thru til morning, if it is just snug aroung the stoma. I get the itchies like that, rinse, and sometimes get several more days wear time.
Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


Carlow
Regular Member


Date Joined Sep 2007
Total Posts : 113
   Posted 2/28/2008 2:25 PM (GMT -6)   
Hey guys, thanks for all the advice! I figured out the itchies/tickles are from when I actually have output, but only on occasion. So weird. I have a follow-up with my surgeon tomorrow, so I'm going to wait and show him and see what he says. Like I said, if it was worse I would definitely change it, but so far its just a few times a day. Here's to no more UC, woohoo! Now if only those abs would come back a little faster...lol
Diagnosed Fall of 2004
(Scheduled for Stage 1 of IPAA in late February:Complete!)

Meds:
Prednisone (10mg taper)

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