diff --git a/ddtrace/internal/datadog/profiling/stack_v2/CMakeLists.txt b/ddtrace/internal/datadog/profiling/stack_v2/CMakeLists.txt
index 19f3955dab0..02058e59feb 100644
--- a/ddtrace/internal/datadog/profiling/stack_v2/CMakeLists.txt
+++ b/ddtrace/internal/datadog/profiling/stack_v2/CMakeLists.txt
@@ -37,7 +37,7 @@ endif()
 
 # Add echion
 set(ECHION_COMMIT
-    "9d5bcc5867d7aefff73c837adcba4ef46eecebc6"
+    "ed744987f224fae3f93c842b2b5ffb083984ff8b"
     CACHE STRING "Commit hash of echion to use")
 FetchContent_Declare(
     echion
diff --git a/releasenotes/notes/fix-profiler-int-ptr-conversion-4377fbd8724eeaec.yaml b/releasenotes/notes/fix-profiler-int-ptr-conversion-4377fbd8724eeaec.yaml
new file mode 100644
index 00000000000..cadb50628fa
--- /dev/null
+++ b/releasenotes/notes/fix-profiler-int-ptr-conversion-4377fbd8724eeaec.yaml
@@ -0,0 +1,6 @@
+---
+fixes:
+  - |
+    Updates setup.py to ignore int-ptr conversion warnings for the profiler stack.pyx file.
+    This is important because gcc 14 makes these conversions an error, alpine 3.21.0 ships with gcc 14,
+    and any patch version of a Python alpine image cut after December 5th, 2024, will have this issue.
diff --git a/setup.py b/setup.py
index ce1aa685596..af30b20df31 100644
--- a/setup.py
+++ b/setup.py
@@ -610,7 +610,11 @@ def get_exts_for(name):
                 "ddtrace.profiling.collector.stack",
                 sources=["ddtrace/profiling/collector/stack.pyx"],
                 language="c",
-                extra_compile_args=extra_compile_args,
+                # cython generated code errors on build in toolchains that are strict about int->ptr conversion
+                # OTOH, the MSVC toolchain is different.  In a perfect world we'd deduce the underlying toolchain and
+                # emit the right flags, but as a compromise we assume Windows implies MSVC and everything else is on a
+                # GNU-like toolchain
+                extra_compile_args=extra_compile_args + (["-Wno-int-conversion"] if CURRENT_OS != "Windows" else []),
             ),
             Cython.Distutils.Extension(
                 "ddtrace.profiling.collector._traceback",