Crohn's Disease Forum » Surgery » Stoma Subforum » How long do your bags last


 
07-29-2014, 12:05 PM   #1
Tricky Dicky
 
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How long do your bags last

I guess it depends on one or two-piece systems. I use a one-piece convex bag and my aim is to change it on Tues, Thurs and Sat and shower at the same time. My bags after two days are getting quite shabby and starting to fall apart and the velcro is no longer sticking properly.

Part of this, I'm sure, is due to me having to empty so often and therefore the bag handled more, although hopefully I've taken steps to reduce this. However, I have read some people are keeping the same bag on for 7-10 days - difficult to see how that's Possible.

Never used a two-piece system, but I assumed the theory was that you keep the wafer on for quite a time, while you change the actual bag more often, but in the company blurb, they seem to suggest changing the wafer every two days, which seems to defeat the object to me.

Just curious about peoples routines
07-29-2014, 12:40 PM   #2
DJW
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I use convatec natural sur-fit two piece. I change every 4 days. The actual bag lasts 8-12 days. I HATE the Velcro system (some love it). I've been dealing with ulcrers under the wafer. Normally I get 7 day between changes .
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07-29-2014, 12:56 PM   #3
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I also use a 2 piece system and get about 5 - 7 days out of my wafer, and I reuse my bags so I get months and months out of each bag (I just wash them out and reuse them).
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07-29-2014, 01:49 PM   #4
Tricky Dicky
 
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I use convatec natural sur-fit two piece. I change every 4 days. The actual bag lasts 8-12 days. I HATE the Velcro system (some love it). I've been dealing with ulcrers under the wafer. Normally I get 7 day between changes .
That' opposite to how I thought a rwo-piece would be used. I thought the point was that the wafer stzyed on while you changed the bags more often, switching to a bigger bag easily for overnight if appropriate.

I guess I'm wrong
07-29-2014, 03:15 PM   #5
Nyx
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You're not wrong....you can change to whatever kind of bag you want whenever you want with the 2 piece system. Some of us just ever use one kind though. Personally, I have some big ones, and some small ones...only because I ordered the wrong ones once...lol But, they both work. I think the 2 piece system gives you more freedom to try different things out.
07-29-2014, 04:41 PM   #6
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I use a two piece Hollister, mainly because that's what was ordered by the at home nursing care post surgery. It took awhile but I now get 7 days wear on the flange, I tend to not change the bag mid-week or reuse them. But on the occasions that I use a one piece I ca generally get a week.
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07-29-2014, 08:42 PM   #7
2thFairy
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I use one-piece bags and change every 3-4 days. If I go any longer, I have skin issues. I love the Velcro, but mine also don't stick properly after 3 days.
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07-30-2014, 03:39 AM   #8
Tricky Dicky
 
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You're not wrong....you can change to whatever kind of bag you want whenever you want with the 2 piece system. Some of us just ever use one kind though. Personally, I have some big ones, and some small ones...only because I ordered the wrong ones once...lol But, they both work. I think the 2 piece system gives you more freedom to try different things out.
Yup, I can see that 2-piece gives you more flexibilty. Must admit, I have not experimented very much, once we got the Salts one-piece convex bag plus stomahesive to work, I have stuck with that. I do seem to be getting better at applying the paste, which is important.
07-30-2014, 03:02 PM   #9
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I use a Cymed one-piece. I change every 4 days, but can sometimes get up to six days use from the pouch.
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07-31-2014, 08:29 AM   #10
glum chump
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I started by using a 2-piece Hollister as that was what they recommended when I left the hospital. Three months after my surgery, I switched to Coloplast 2-piece system. One of the reasons I didn't like Hollister was the size of the wafer, but I also didn't like their bags. The bags would start looking really ratty by Day 2 and I was changing out the bags by the second day.

My preference for Coloplast is that the wafer/flange works better for my body and their bags are far more durable then the Hollister ones. When I don't have any issues, the flange can last anywhere from 5-7 days and the bags still look fine on Day 5.

My preference for a 2-piece is that I like the flexibility of being able to change out by bag if it's necessary (like when I've come out of the shower and I'm either too lazy or too much in a hurry to dry my bag, so I dump the wet bag and snap on a new one!).

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07-31-2014, 08:35 AM   #11
DJW
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I started by using a 2-piece Hollister as that was what they recommended when I left the hospital. Three months after my surgery, I switched to Coloplast 2-piece system. One of the reasons I didn't like Hollister was the size of the wafer, but I also didn't like their bags. The bags would start looking really ratty by Day 2 and I was changing out the bags by the second day.

My preference for Coloplast is that the wafer/flange works better for my body and their bags are far more durable then the Hollister ones. When I don't have any issues, the flange can last anywhere from 5-7 days and the bags still look fine on Day 5.

My preference for a 2-piece is that I like the flexibility of being able to change out by bag if it's necessary (like when I've come out of the shower and I'm either too lazy or too much in a hurry to dry my bag, so I dump the wet bag and snap on a new one!).

Kismet
I had the same issue with Hollister pouches.
07-31-2014, 10:59 AM   #12
Jeff D.
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I get about 7 days out of a bag and wafer. I use a two piece system because I need to have a belt hold the apparatus in place because I am allergic to the tape on pretty much all wafers.
07-31-2014, 10:59 AM   #13
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I'm really wasteful with my bags (I get them for free on the NHS) - I hate it when the skin is messy, so I usually change every day, so that I can clean everything. My skin was until recently in very good condition, so I think it helps. My skin got bad recently because I had an NG tube (I'm in hospital right now, and have been for ages - I posted about it on the Your Story forum), and the NG feed upset my stomach majorly; I had watery output pouring out of the stoma and the bags were always leaking and my skin went really red and sore and was bleeding. I got off the NG tube after a couple of days because my digestive system just couldn't take it. My stoma nurses gave me some products to help heal the skin, so I have to change twice daily at the moment to care for the skin.
07-31-2014, 12:35 PM   #14
Tricky Dicky
 
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I'm really wasteful with my bags (I get them for free on the NHS) - I hate it when the skin is messy, so I usually change every day, so that I can clean everything. My skin was until recently in very good condition, so I think it helps. My skin got bad recently because I had an NG tube (I'm in hospital right now, and have been for ages - I posted about it on the Your Story forum), and the NG feed upset my stomach majorly; I had watery output pouring out of the stoma and the bags were always leaking and my skin went really red and sore and was bleeding. I got off the NG tube after a couple of days because my digestive system just couldn't take it. My stoma nurses gave me some products to help heal the skin, so I have to change twice daily at the moment to care for the skin.
Yup watery output certainly makes leaks more likely.

One thing, I was hospitalised last week with dehydration. This was due to lots of watery output pouring out of my stoma, so thst is something to watch out for. In my case I went to a dialysis session as normal and they couldn't dialyse me because I was so dry, "crispy" my surgeon called me.

Not sure I would want to be changing bags every day, I aim for every two days and shower at the same time. I'm used to showering every day, but with the stoma every two says is a reasonable compromise.
07-31-2014, 06:45 PM   #15
2thFairy
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There's no reason you can't still shower every day.
08-01-2014, 04:17 AM   #16
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There's no reason you can't still shower every day.
Yep. I shower multiple times a day sometimes, usually with the bag on, occasionally with the bag off. It's never been a problem.
08-01-2014, 04:58 AM   #17
Tricky Dicky
 
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Yep. I shower multiple times a day sometimes, usually with the bag on, occasionally with the bag off. It's never been a problem.
I probably could, I have done once, bag on, and no problem. Unfortunately
i now use stomahesive paste which is water soluable, so I suspect, unless I can protect it somehow, that the wafer may start to unpeel.

It's not currently a problem only showering when I bag-change, plus I can't afford to have problems with it mon/wed/fri as I go off to dialysis early in transport provided to me, so can't be faffing about with bags.
08-01-2014, 07:15 AM   #18
2thFairy
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Do you use the paste on the sticky part of the flange or just around where the bag meets the stoma? If you use it around the stoma itself, water from the shower won't affect the paste there.
08-02-2014, 06:57 PM   #19
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I had the same issue with Hollister pouches.
Same here. Going to try a clear pouch next week and use a pouch cover over it. I don't know why Hollister uses such cheap fabric on a medical appliance.
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08-02-2014, 09:07 PM   #20
PsychoJane
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I also keep my flange and bag (2 piece system) for seven days. Make that a +/- 1 day estimate from week to week.

I see hollister did not improve their products from the comments above... They gave me that at the hospital when I got my first surgery and I remember they would get worn out quickly.
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08-03-2014, 05:55 AM   #21
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Does anyone else feel the need to change the whole bag whenever they empty because the opening of the bag is no longer clean? If my output is quite liquid, it's very easy to wipe it clean with wet wipes and then dry it with a dry wipe or piece of toilet paper. But when it's quite thick (the way it's supposed to be), it's harder to clean properly, and I end up feeling yucky and changing it for a fresh one. I just like my bag and skin clean as much of the time as possible, but I think I may be becoming a bit neurotic about it. When I first had my ileostomy, I left the bags on for three days, because that was the time frame the stoma nurse recommended, and I was so ill for weeks after the surgery that I honestly found it so difficult to change the bag as I was just desperate to lie down as soon as possible. As soon as I began feeling better, I began changing the bag more often.
08-03-2014, 05:58 AM   #22
2thFairy
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I rinse mine out with a water bottle every time I empty, especially on the rare occasions when the output is somewhat thick.
08-03-2014, 06:05 AM   #23
Tricky Dicky
 
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I rinse mine out with a water bottle every time I empty, especially on the rare occasions when the output is somewhat thick.
TBH it's never occurred to me to clean the bag when emptying, probably because my stoma nurses didn't suggest it when they were teaching me. I'm going to think about that now. As I'm trying, at times, to empty as little as possible, cleaning it with water may make it possible to get more out - especially if output is quite thick.
08-03-2014, 06:09 AM   #24
Tricky Dicky
 
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Does anyone else feel the need to change the whole bag whenever they empty because the opening of the bag is no longer clean? If my output is quite liquid, it's very easy to wipe it clean with wet wipes and then dry it with a dry wipe or piece of toilet paper. But when it's quite thick (the way it's supposed to be), it's harder to clean properly, and I end up feeling yucky and changing it for a fresh one. I just like my bag and skin clean as much of the time as possible, but I think I may be becoming a bit neurotic about it. When I first had my ileostomy, I left the bags on for three days, because that was the time frame the stoma nurse recommended, and I was so ill for weeks after the surgery that I honestly found it so difficult to change the bag as I was just desperate to lie down as soon as possible. As soon as I began feeling better, I began changing the bag more often.
No, not at all. I clean my one-piece drainables with a couple of pieces of TP only. I never change my bag because I don't feel it's clean.
08-03-2014, 06:11 AM   #25
2thFairy
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This is the kind I use. The top has 4 small holes in it, so you can squirt up and to the sides at the same time.

http://www.amazon.com/Lavette-Bottle.../dp/B000VSXSX2
08-03-2014, 07:19 AM   #26
Tricky Dicky
 
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This is the kind I use. The top has 4 small holes in it, so you can squirt up and to the sides at the same time.

http://www.amazon.com/Lavette-Bottle.../dp/B000VSXSX2
I'm sure I could find something similar here in the UK, we're not that backward.
08-03-2014, 09:07 AM   #27
2thFairy
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I'm sure I could find something similar here in the UK, we're not that backward.
Yep!
08-03-2014, 09:15 PM   #28
Nyx
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Does anyone else feel the need to change the whole bag whenever they empty because the opening of the bag is no longer clean? If my output is quite liquid, it's very easy to wipe it clean with wet wipes and then dry it with a dry wipe or piece of toilet paper. But when it's quite thick (the way it's supposed to be), it's harder to clean properly, and I end up feeling yucky and changing it for a fresh one. I just like my bag and skin clean as much of the time as possible, but I think I may be becoming a bit neurotic about it. When I first had my ileostomy, I left the bags on for three days, because that was the time frame the stoma nurse recommended, and I was so ill for weeks after the surgery that I honestly found it so difficult to change the bag as I was just desperate to lie down as soon as possible. As soon as I began feeling better, I began changing the bag more often.
That's why I use liners in my bag. My output is always thick and I never found that I felt really clean by just squirting water in my bag.
08-04-2014, 03:30 AM   #29
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That's why I use liners in my bag. My output is always thick and I never found that I felt really clean by just squirting water in my bag.
I haven't heard of liners. Something else I'm going to ask my stoma nurses about!
08-04-2014, 01:06 PM   #30
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I've also heard of others using the doggie poop bags you can get at the dollar store. I haven't tried that, but they say they work well.
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