Empty the stoma bag when it’s one third full, For 1 pc system, you can flush in some water to clean the stoma and bag, after that just wipe dry the bag and the tail end before fastening it back. For 2 pc system, it is easier to maintain hygiene – just remove the stoma bag from the skin barrier, use moisten cotton or wet wipes to clean the stoma and surrounding area at the skin barrier. Replace a clean bag before bringing the soiled bag to wash in the toilet, 2 pc system bag is reusable for 5-7 days. Observe for any change in color, healthy stoma is red, shiny and moist. Consult doctor if the stoma changes to purple or blue color, also if the stoma becomes longer (prolapsed).