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Jun 16, 2013

How often do you rinse your pouch?

The topic at hand is about how often people with an ostomy, specifically an ileostomy, rinse their ostomy pouches. This discussion is important because it touches on personal hygiene practices, comfort, and the practicalities of living with an ostomy. Here are some insights and advice shared by individuals with ostomies:

1. **No-/Rare-Rinse Approaches**
- Some people with ileostomies who use disposable pouches, like the Coloplast two-piece systems, choose not to rinse at all. They rely on the pouch’s odor-proof film, wipe the outlet, and change the bag or wafer every 6–8 days. They also shower with the appliance on, using 3M Transpore tape to protect the adhesive and a toothbrush to clean the Velcro fastening.
- Those with very watery output often skip rinsing, opting instead to clean the outlet with wet wipes and change the bag frequently when filters clog.

2. **Occasional or Situational Rinsing**
- Some individuals rinse their pouches only after consuming strong-smelling foods, when the output is thick and slow to exit, or when checking for leaks or blow-outs. Cold water inside the pouch can help reveal weak wafer adhesion.
- Colostomates who empty their pouches 1–2 times daily might rinse at home but avoid doing so in public, using toilet paper to squeeze out any residual stool.

3. **Regular/Daily Rinsing Routines**
- A number of people rinse their pouches once or twice daily, often during their morning shower or before bed. Warm shower water helps clean the pouch, stoma, and surrounding skin, providing a fresher feeling.
- Adding a few drops of baby oil after rinsing can help reduce odor and lubricate the pouch, making it easier for stool to slide out.
- One person mentioned using a homemade in-place rinsing device every time they empty their pouch (3–4 times a day) and is working on a low-cost commercial version called “OstoClean.” There is also interest in commercial rinse systems like “Ostowash,” which uses pouches with an upper inlet for a small spray hose.

4. **Frequency Snapshot from Replies**
- Never: Several ileostomates with liquid output.
- Once daily (in shower): At least one user.
- Twice daily: Multiple users.
- Every pouch emptying (3–4 times a day or more): A few users.
- “When needed” (odor, thick output, leak check): Several users.

5. **General Themes & Tips**
- Rinsing preferences vary widely and depend on factors like output consistency, pouch type, lifestyle, and personal comfort.
- Rinsing can help with odor control, visualizing the stoma/wafer seal, and keeping the pouch light and lubricated.
- Modern disposable pouches from manufacturers like Coloplast are durable and odor-resistant, making rinsing optional for many users.
- Accessories mentioned include 3M Transpore tape for shower protection, pinch-type outlet clips for added security, and baby oil as an in-bag lubricant and deodorizer.
- Emerging products include OstoClean (a prototype rinse device) and Ostowash (special pouches with a hose port).
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