Topic Explanation
The forum topic "When to change: Frequency and benefits" discusses the frequency of changing ostomy appliances and the benefits of less frequent changes. Mike, the initiator, seeks thoughts on when to change the appliance and the benefits of less frequent changes.

Advice and Insights
- Change the appliance based on prior experience to ensure reliability and prevent leaks.
- Stretching wear time to the maximum while still being reliable can reduce stress on the skin from peeling off a well-stuck flange.
- Consider skin condition around the stoma, use barrier rings for a good seal, and change the appliance every 10 days or if skin irritation occurs.
- For colostomies with thicker output, changing every 3-4 days may be necessary, while ileostomies with fluid output may require more frequent changes.
- Use a belt for support, especially to prevent a hernia, and consider customizing it for a better fit.
- Keep a diary to track food intake and output consistency to develop a routine that works best.
- Consider using a spray-on skin protector to prevent skin irritation, especially during warmer months.
- Experiment with different products and seek advice from healthcare professionals to find the best solution for individual needs.
- Take proactive measures to ensure a steady supply of ostomy bags, especially if changing daily for comfort and to prevent pain or discomfort.
- Seek information about hernia belts and consider using them as a preventive measure.

Conclusion
The discussion provides valuable insights into the frequency of changing ostomy appliances, skin care, and preventive measures for hernias, offering practical advice for managing ostomy care.