How to Change a Stoma Bag for Someone – A Step-by-Step Guide

Caring for someone with a stoma can feel overwhelming at first, but with the right technique and confidence, it becomes a simple and supportive task. Changing a stoma bag correctly helps prevent leaks, protects the skin, and ensures comfort for the person wearing it.

In this guide, we’ll cover everything you need to know about safely and hygienically changing a stoma bag for someone else, including essential tips for making the process easier.

✅ Why Proper Stoma Bag Changes Matter

A well-fitted and securely changed stoma bag prevents discomfort, leaks, and skin irritation. Helping someone with their stoma care is not just a practical task—it also supports their confidence and well-being.

✔ Prevents skin irritation – Ensures a snug fit and proper hygiene.

✔ Reduces leaks – A correctly placed bag lowers the chance of accidents.

✔ Boosts confidence – Feeling secure in their stoma bag helps the person feel more at ease in daily life.

✔ Promotes hygiene – Regular changes prevent odors and infections.

🛒 What You Need Before Changing a Stoma Bag

Before you start, have the following supplies ready:

• New stoma bag (one-piece or two-piece system)

• Adhesive remover wipes (for easy and painless removal)

• Warm water & soft cloth (for cleaning the skin)

• Stoma barrier rings or paste (if needed, to prevent leaks)

• Disposable gloves (for hygiene)

• Stoma powder or barrier wipes (for extra skin protection)

• A disposal bag (for the used stoma bag)

• A mirror (if the person wants to check the positioning)

📝 Step-by-Step Guide: How to Change a Stoma Bag for Someone Else

1️⃣Prepare the Area & Position the Person

• Choose a clean, well-lit space where the person feels comfortable.

• Have them lie down or stand near a sink or toilet for easy access.

• Wash your hands thoroughly and wear disposable gloves.

 

2️⃣Gently Remove the Old Stoma Bag

• Carefully peel the stoma bag away from the skin, using an adhesive remover wipe to minimize discomfort.

• If the bag is full, empty it first into the toilet before disposal.

• Place the used bag in a disposal bag to keep the area clean.

Tip: Peel from the top down while holding the skin with your other hand to reduce pulling on the skin.

 

3️⃣Clean the Stoma and Surrounding Skin

• Use warm water and a soft cloth to gently clean the skin around the stoma.

• Pat the skin dry with a clean towel—moisture can prevent the new bag from sticking properly.

• Check for redness, irritation, or signs of infection. If the skin looks sore, use stoma powder or barrier wipes for protection.

 

4️⃣Measure & Prepare the New Stoma Bag

• If using a cut-to-fit stoma bag, ensure the hole is the right size—not too tight but not too loose.

• If needed, apply a barrier ring or paste to prevent leaks.

 

5️⃣Attach the New Stoma Bag

• Peel off the backing of the adhesive and position the bag carefully over the stoma.

• Press gently but firmly around the edges to secure a good seal.

• Hold your hand over the adhesive for 30-60 seconds—warmth helps it stick better.

Tip: If using a two-piece system, make sure the baseplate is fully secured before attaching the bag.

 

6️⃣Check for Comfort & Dispose of Waste

• Ensure the bag is secure and comfortable.

• Have the person move around slightly to check for any discomfort.

• Dispose of used supplies in a sealed disposal bag.

💡 Helpful Tips for a Smooth Stoma Bag Change

✔ Change the bag at a good time – Wait at least 30 minutes after eating or drinking to reduce stoma activity.

✔ Use adhesive remover wipes – These prevent skin damage when removing the old bag.

✔ Check for skin irritation regularly – Keeping the skin healthy reduces leaks and discomfort.

✔ Apply gentle pressure – Press the adhesive for 30-60 seconds to ensure a strong seal.

✔ Reassure the person – If they’re new to wearing a stoma, a calm and supportive approach helps them feel more confident.

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📌 Final Thoughts

Changing a stoma bag for someone doesn’t have to be stressful. With the right technique, hygiene, and care, you can make the process quick, easy, and comfortable for both of you.

If you’re helping a loved one, patience and reassurance go a long way. Every stoma is unique, so finding the best routine takes time!

 

Have any extra tips or experiences? Share them in the comments!