This topic is about managing night-time leaks from an ileostomy, especially when recovering from hip-replacement surgery. The person sharing their experience has had an ileostomy since 2007 and is preparing for a right-hip replacement in December. They are concerned about handling leaks during the recovery period when mobility will be limited. Here are some helpful tips and advice shared by others:

1. Keep a replacement pouch at your bedside after surgery. This allows you to quickly change bags without needing to stand up or go to the bathroom. Many people found this helpful during their early recovery from hip replacement.

2. Consider trying a 2-piece appliance. This type of system allows you to easily "snap off" the old pouch and "snap on" a new one, which can be more convenient than changing the entire system or needing a shower.

3. Use a larger-capacity pouch overnight and empty it proactively:
- In the hospital, ask for a bedside male urinal bottle. It can hang on the bed rail, allowing you to drain the pouch while still in bed.
- At home, keep a container or jug by your bed for the same purpose.

4. Adjust your diet and meal timing to reduce night-time output:
- Have your last meal earlier in the evening.
- Track your personal "emptying window" (many people find it is 4 to 6 hours between eating and output) and plan meals accordingly.
- Avoid or limit foods that you know trigger high output, such as dairy products.

5. For odour control when emptying the pouch at your bedside, small aerosol sprays from Bath & Body Works (non-perfume, like cinnamon or balsam scents) can be effective. Just one or two sprays can control the smell, and the can is small enough to fit in a pocket.

6. Tips for the hospital and rehabilitation during your hip procedure:
- Most hospitals will have you standing or walking within a few hours after surgery. Ask for training videos or classes that explain the entire process, including anaesthesia, pain management, physical therapy, and precautions.
- Try to manage your own ostomy care when possible, as many nurses and aides may not have much experience with ostomies.
- Choose an experienced orthopaedic surgeon. Having the right team can help minimize pain and speed up your recovery.