Welcome to the forum!
I'll do my best to answer your questions:
1. Yes I was able to tell when output was coming out of my stoma.
2. I did have a little blood but that was mainly right after surgery.
3. Fatigue can be very normal. Make sure you keep yourself very hydrated if you're not already. Our colon was used to absorb water back into our bodies, with no colon we can get dehydrated very fast = fatigue
4. For insomnia, are you on any medications currently?
5. The changing of your wafer/bag will be different for everyone. I was usually able to go 4-6 days sometimes with no change. Some have had to change theirs daily. I used a two piece bag so I was able to remove the bag portion and still leave the wafer adhered to my body. I would remove the bag to shower etc and that helped to clean the stoma / wafer without removing everything. Also, I found first thing in the morning when you wake is the "quietest" time to change your bag. Output seems to be minimal at that time (for me anyway). I would remove everything, shower then apply the new bag. Trying to replace a bag with an active stoma is not fun.
6. For your rash, are you using stoma powder at all? Google the "crusting technique" to apply the stoma powder. You're essentially making a crust of powder and barrier spray/wipes to help protect the skin.
Post Edited (blksteeda) : 6/23/2017 9:30:07 AM (GMT-6)