This topic is all about understanding when and how often to empty or change a drainable ostomy pouch. It includes personal experiences and practical tips to help manage this aspect of life with an ostomy.

Here are some helpful insights and advice:

1. Recognizing When to Empty or Change:
- If the output is sticky or there's splash-back when draining, the pouch might be too full.
- Feeling output on your feet while walking is a sign to change the pouch immediately.
- Starting each day with a fresh bag can provide peace of mind.

2. Daytime Routine and Travel Tips:
- Try to empty the pouch before and after meals and about every two hours while awake.
- Eating smaller amounts and limiting food and drink before long journeys can help.
- Carry bottled water to sip, which helps prevent dehydration without over-filling the pouch.
- Rinse the tail of the pouch each time; a small water bottle or container can fit in a handbag.
- Keep spare toilet paper or wipes handy in case public restrooms are out.

3. Night-time Management:
- Finish your main meal by around 6 p.m. or several hours before bedtime.
- Empty the pouch right before going to sleep.
- Set an alarm until your body naturally wakes you when the pouch needs emptying.
- Consider using larger-capacity night pouches and charcoal moisture-absorbing sachets for very liquid output.
- Use flange extenders for extra adhesion.
- Avoid lying on your stoma side or stomach.
- Keep all supplies within reach, and have a waterproof mattress cover, a towel layer, and a spare pair of warmed pajamas ready.
- If you suspect a leak, sit on the toilet with absorbent paper beneath the pouch to minimize mess.

4. Cleaning Tips:
- Baby wipes in a travel case make cleaning the tail of the pouch quick and thorough.

5. Hot Liquids and Rapid Filling:
- Very hot drinks or soups can cause the pouch to fill rapidly; sip them slowly or let them cool.

6. Early-stage Expectations:
- Night leaks are common initially, but with perseverance and routine adjustments, your body will eventually learn to wake you in time.