This topic is about how often people with an ileostomy change their appliances and the factors that influence this decision. The discussion includes personal experiences, challenges, and tips for managing wear time and skin health.

- The person sharing their experience has a permanent ileostomy since 2019 and uses a 2-piece Coloplast Sensura Mio convex system. They typically change their appliance every 3-4 days due to seepage but have managed up to 5 days. They are considering changing every other day to feel cleaner but are concerned about skin irritation.

- They currently use a wafer and waxy barrier ring without additional sprays, powders, or pastes, and their insurance provides 20 appliances per month. They are seeking advice on normal wear times and the impact of frequent changes on skin health.

- Some questions they have include whether the skin around the stoma becomes less sensitive over time, and if it's better to change the appliance on a fixed schedule or wait for signs of leakage.

- Experiences with wear time vary widely among individuals, with some changing multiple times a day and others lasting up to 2-3 weeks. Factors like temperature and activity level can affect wear time.

- Many people find that their skin becomes less sensitive over time, and a proper fit and dry application are crucial for comfort and longevity.

- Frequent changes can be done without damaging the skin if done gently, using adhesive remover wipes or sprays, and preparing the skin properly. Insurance limits might restrict the frequency of changes.

- Techniques to extend wear time include thoroughly drying the skin before application, using the "crusting" method with stoma powder and barrier spray, applying barrier rings, and using bonding cement and tape for extra security.

- The Coloplast Sensura Mio convex system is praised for its fit and waterproof qualities, while some find Hollister products cause itching. Convatec wafers are preferred by those sensitive to tape adhesives.

- Additional products that can help include Torbot Bonding Cement, Leukotape, Anacept Wound Gel, Medipore cloth tape, and adhesive remover wipes or sprays.

- Some people find success with a minimal approach, using just a wafer and barrier ring, and changing every 4-7 days.

- It's important to experiment with different products and techniques to find what works best for your body, stoma type, skin, activity level, and climate.