This topic is about figuring out when to start counting the days after changing an ostomy bag. The main question is whether the day you change the bag is considered "Day 1." For example, if you change your bag on a Tuesday morning, would Friday be the third day?

Here are some helpful insights and advice from the discussion:

- Day-count practices:
- Most people start counting Day 1 from the moment they apply the new bag. So, 24 hours later is Day 2, making Friday the third day if you change on Tuesday morning.
- Some prefer to count "sleeps" instead of hours, meaning 3-4 sleeps equal 3-4 days.
- Ultimately, the exact count is a personal choice. The key is to pay attention to the seal's integrity, output, skin condition, and what is most convenient for you.

- Typical change schedules shared by others:
- Many change every 3-4 days.
- Some follow a twice-a-week schedule, like every Monday and Friday or every Sunday and Wednesday.
- Others change once a week, such as every Thursday.
- One person manages up to 10 days by using skin prep and a Salts ring with aloe.
- Changing 3-5 times per day is considered excessive, and members suggest looking into possible issues.

- Tips for those changing bags excessively (3-5 times a day):
- Check if you're using a non-drainable (closed) pouch, as frequent disposal can be normal for a colostomy with high output.
- Consider switching to a 2-piece system, where only the pouch is replaced, not the wafer. This can help protect the skin around the stoma and reduce the workload.
- If rapid filling or leaks are causing frequent changes, consult your surgeon or stoma nurse to address any underlying issues.

- Products and accessories mentioned:
- A 2-piece Hollister system, which includes a separate wafer and pouch.
- Coloplast SenSura Mio Convex Deep 1-piece closed pouch.
- Salts Ostomy Ring with aloe, used with skin prep to extend wear-time.