This topic is about managing frequent colostomy bag changes and controlling odor, which can be a common concern for those with a colostomy. The person in question had a colostomy due to a rectovaginal fistula and is looking for ways to reduce the need to change the pouch almost daily. Here are some helpful tips and advice:

1. Appliance Choice & Fitting
- Consider using a 2-piece system. This allows you to change just the pouch while keeping the wafer or flange in place for 3-5 days, which helps protect your skin from damage.
- Try using a Hollister 2-piece wafer with a pre-formed wax ring. Cut the wafer close to the stoma and let a small part of the ring show for a snug fit.
- An Eakin seal can offer extra protection against leaks and odors.

2. Application Routine to Improve Wear Time
- When changing your appliance, take a full shower and clean the skin around the stoma thoroughly. Let the area air-dry for 2-5 hours before applying a new wafer.
- If you have minor skin irritation, apply a thin layer of honey during the drying period, then rinse it off with warm water before attaching the wafer.

3. Odor-Reduction Options Inside the Pouch
- Use commercial drops like Hollister Adapt, M9, or NaScent.
- Consider inexpensive alternatives such as mentho-eucalyptus cough drops (non-sugar-free), Altoids mints, Tic Tacs, baking soda, a teaspoon of 3% hydrogen peroxide, a small rinse of mouthwash, or a few drops of liquid fabric softener (avoid contact with the stoma).

4. Pouch Lubrication to Aid Emptying & Lessen Residual Odor
- Swirl a small amount of cooking or olive oil inside the pouch. Avoid using mineral oil.

5. Diet Tips for Less Odor
- Include yogurt in your daily diet.
- Reduce or avoid foods known for strong odors, such as eggs, fish, and spinach.
- Check the UOAA website for more information on foods that may cause odor.

6. When to Seek Professional Help
- If frequent changes are due to leakage rather than odor, consult your surgeon or ostomy nurse. They can help evaluate the stoma size, wafer fit, and any issues related to the original fistula.