I do all of this while I am laying down and have a trash bag next to me
I change my ileostomy bag every 3 days for hygienic reasons and keeping up with wound care around the stoma. It works well for me.
I use baby wipes to wipe my stoma during the bag changes and after I wipe the stoma, I use toilet paper the dry the area around the stoma. I use cavillon wipes to wipe the skin around the stoma to make it sticky for me to put the bag on top it.
I connect the wafer to the bag and snap them both together.
After I do that above, I put stoma paste or vaseline or calmoseptine around the ring of the wafer (that helps the stoma powder to do its job and creates a better seal and more protection around the stoma from diarrhea) and then I put stoma powder around my stoma and then I put the bag on top of everything and TADA!!
As far as diarrhea goes: I can use psyllium powder 1tbsp 3x a day, with Cholestyramine twice a day, and loperamide 4mg 4x a day for diarrhea.
I drink a lot of water because I take a lot medicine throughout the day and everything above helps me.
I do not have a barbie butt so I still get leakage, thinking about going in for barbie butt surgery
Let me know if you have any questions, hope this helps.