This topic is about using Sensura Mio convex drainable pouches and finding the best schedule for changing them, as well as tips for controlling odor. The person sharing their experience changes their appliance every other day and is curious if this is typical. They also use peppermint or lavender essential oil to manage odor and are looking for more ideas to keep things fresh.
Here are some helpful insights and advice:
1. Wear-time is personal:
- Many people find that changing every 2–3 days is common, as recommended by nurses.
- Some with ileostomies can extend wear to 4–7 days by keeping an eye on their skin, while a few with colostomies manage 8–14 days. Others change daily due to odor or skin concerns.
- The main rule is to change sooner if you feel itching, see the wafer or ring eroding, or notice leaks. Your comfort and skin health are more important than sticking to a schedule.
2. Tips for increasing wear time and improving the seal:
- Use a barrier ring like Brava Ostomy Ring, Salts Aloe Rings, or Eakin Cohesive Slims to fill gaps and protect the skin, which can add 1–4 days of wear.
- Convex wafers can help if your stoma is in a crease or if retraction causes leaks.
- Wearing a belt all the time can provide extra support and longer wear for some.
- Rinsing the pouch each time you empty it can help reduce odor and pancaking, possibly extending wear time.
3. Odor-control products and DIY options:
- Brava Lubricating Deodorant by Coloplast is often praised for reducing odor and keeping the pouch interior slick.
- Hollister M9 Drops are another popular choice, with some finding them more effective than Hollister Adapt.
- Coloplast’s deodorant is noted as very effective by Mio users.
- Non-ostomy alternatives include one drop of peppermint oil, a few drops of standard mouthwash, or an Altoids mint in the pouch.
- Be cautious with essential oils, as undiluted lavender or multiple drops of peppermint can affect wafer adhesion and irritate the skin. It's advised not to use them routinely inside the bag.
4. Managing the Mio vent:
- Use the small blue stickers provided in the Sensura Mio box to seal the vent while showering. Water entering the charcoal filter can reduce odor control and force odors out later. Remove the sticker once the pouch is dry to allow the filter to vent gas.
5. Skin-care aids and troubleshooting:
- Nystatin powder or Stoma powder can help calm irritated skin. Alternate them if you suspect fungal or adhesive irritation.
- If the output burns the skin, ensure the barrier ring or wafer opening is cut precisely with no gaps. Consider switching to convex products if flat ones allow seepage.
6. Insurance and supply limits:
- Some people in the U.S. extend wear time to 6–7 days to meet insurance supply limits on wafers or Brava deodorant bottles.
Remember, there is no "right" interval for everyone. Change when your skin or comfort tells you to, and experiment carefully to find the longest trouble-free wear time that works for you.
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