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Jul 27, 2015

Daily Bag Changes - Beneficial or Detrimental?

The topic at hand is about whether changing an ostomy pouching system every day is beneficial or harmful. People often wonder if frequent changes might irritate the skin or if it's better to keep the pouch on for several days. Here are some insights and advice shared by others:

- Skin impact of frequent changes:
- Some ostomy nurses advise that removing a wafer daily can irritate the skin, so many aim to keep it on for at least 2-3 days unless necessary to change sooner.
- However, some people experience no skin issues with daily changes, highlighting that it depends on individual skin type and stoma output.

- Typical wear-times shared by others:
- Changing every 24 hours is common for some, especially urostomates, or those who prefer a fresh feeling or an unclogged filter.
- A 2-day change is preferred by active individuals who engage in activities like running or golf, as sweat and heat can cause the wafer to peel off.
- A 4-day change is a reliable routine for some, with the possibility of extending to 5 days in cooler weather.
- A 5- to 6-day change works well for some ileostomates, though pushing beyond this can lead to leaks.

- Factors influencing change frequency:
- Heat, humidity, exercise, and sweating can reduce wear-time.
- Swimming or water activities might necessitate additional changes in a day.
- Personal comfort, confidence, and preventing leaks are often prioritized over extending wear-time.

- Product and brand observations:
- Hollister closed-end pouches and one-piece appliances are noted for staying in place while being gentle on the skin.
- Convatec adhesives are described as "gummy" and harder to remove, which can cause irritation for some.
- Tegaderm-style bandages are used temporarily for a lower profile while swimming.
- Odor control drops like M9 (blue), Safe and Simple, and Nascent are favored for keeping pouches odor-free.

- General tips:
- It's important to find a pouch/wafer system that suits your skin and lifestyle. Manufacturers often provide samples, so keep testing until you find the right fit.
- Monitor your skin condition and leak history to create a personal schedule rather than adhering to fixed rules.
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