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Feb 08, 2022

When to switch to high output bags at night?

This topic is about managing an ileostomy, specifically dealing with the challenge of frequent nighttime emptying. The person is considering using a high-output ileostomy bag only at night to reduce the number of times they have to get up. Here are some insights and advice shared by others:

1. Switching Bags: Some people use a high-output pouch all the time. They find that if they empty it often during the day, it feels like a regular pouch and provides enough capacity to sleep through the night without interruptions.

2. Brand Alternation: One person alternates between different brands every three days to give their skin a break. Both brands work well, but they noted that one has a narrower outlet.

3. Night-time Drainage: You can connect a high-output pouch to an overnight drainage bag, similar to a urostomy setup, to avoid getting up at night.

4. Pouch Reuse: It's generally not recommended to reuse detached pouches, as frequent removal and reattachment can irritate the skin and affect the seal.

5. Alarm Strategy: Some people stick with a standard-sized pouch and set an alarm to empty it once or twice during the night, accepting it as part of their routine.

6. Fit and Comfort: High-output bags can feel too long for some, making them uncomfortable against the thigh. These users prefer regular-length pouches despite needing to empty them more often at night. Longer bags can also make clothing fit more challenging.

7. Cleaning Night Bags: One person uses a separate bag just for nighttime and cleans it each morning with a mixture of white vinegar and mouthwash, using a squeeze bottle to rinse through the tap.

8. Alternative Products: Irrigation sleeves, which can be trimmed and are sold in packs, are an option for managing very high output.

9. Reducing Output: Reducing sugar intake helped one person decrease their emptying frequency significantly.

These insights might help you decide on the best approach for managing your ileostomy, especially at night.
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