This topic is about managing a situation where a new ostomate notices an unpleasant smell coming from their ostomy pouch, even though they recently changed their entire appliance. They are using a 2-piece ostomy system and are curious about whether they can change just the pouch without replacing the wafer, and if any cleaning is needed in the process.

Here are some helpful insights and advice:

1. Yes, you can change the pouch without replacing the wafer. One of the benefits of a 2-piece system is that the pouch can be swapped out while the wafer, or skin barrier, remains in place. Most wafers can stay on for 5 days or more, as long as the seal is still good.

2. Before attaching a new pouch, it's a good idea to clean the plastic coupling surface of the wafer. This helps ensure a good, odor-proof seal.

3. When emptying a drainable pouch, you might find it helpful to flush it with a small amount of water each time. Many people keep a squeeze or squirt bottle in the bathroom for this purpose. Just be careful not to let warm water reach the wafer adhesive, as excess heat can loosen the seal.

4. To help with odor and make it easier for stool to slide out, consider adding a few drops of a lubricating deodorant, like Hollister M9, after each emptying.

5. It's wise to keep extra pouches on hand in case of leaks or defects, as sometimes a pouch might fail unexpectedly. If supplies are limited or expensive, you can wash an intact used pouch with a mild dishwashing soap, such as Dawn, air-dry it, and reuse it as an emergency backup. While some people prefer not to reuse pouches, others find it a practical option when insurance coverage is limited.

6. For more information and support, you can explore resources like the United Ostomy Association of America (UOAA) at ostomy.org, Ostomy101.com, or local ostomy support groups. These can offer valuable tips on diet, skin care, travel, clothing, and product choices.