Topic Explanation:
The discussion revolves around managing colostomy bags, specifically the choice between open (drainable) and closed pouches. The original poster (OP) is new to using a colostomy bag and currently uses an open-ended, two-piece system. They are considering switching to closed pouches but are unsure about the practicality of using only two bags per day, as allowed by their insurance. The OP seeks advice on how others manage their colostomy bags, particularly in terms of frequency of changes, convenience, and personal preferences.

Advice and Insights:

1. Open (Drainable) Pouches vs. Closed Pouches:
- Convenience of Open Pouches:
- Open pouches allow for easy emptying without needing to carry extra bags or find a trash can. This is especially useful for people who are not always near a disposal option.
- Some users prefer open pouches because they can empty them multiple times a day, reducing the need to carry extra supplies.
- Open pouches are more practical for those with higher output or who need to empty more than twice a day.
- Rinsing open pouches can be controversial. Some users rinse to reduce pancaking, but others have been advised against it due to the risk of leaks at the flange connection.

- Challenges with Closed Pouches:
- Closed pouches may require more frequent changes, especially for those with higher output, which could lead to more waste and the need for extra supplies.
- Disposing of two closed pouches per day can lead to concerns about odor and trash buildup, especially if trash is only collected once a week.
- Some users find it inconvenient to carry extra closed pouches and dispose of them when away from home.
- Closed pouches may be more suitable for people with lower output or those who prefer not to deal with emptying.

2. Personal Preferences and Experiences:
- Size and Fit:
- Some users prefer smaller, sealed mini pouches because they are less noticeable and more comfortable, especially for shorter individuals. Larger pouches can hang down and swing, which can be uncomfortable and visible under clothing.
- Clothing choices can be affected by the size and visibility of the pouch. High-waisted pants can help conceal the pouch.

- Output Consistency:
- Users with more solid output may find closed pouches more manageable, as they can