Let me put it this way....if you get adult discus, you can most definetly get by with a once a week w/c (sometimes even everyother week if the tank is done right). If you get younger fish I highly recommend as many water changes as you are able to do. It will encourage growth, appetite and overall health/vigor. IMO, it totally depends on how you have the tank setup as well as what you feed, stocking densities, and the overall pH of your water.
pH will naturally overtime drift downwards as the nitrifying bacteria convert (oxydize) ammonia/nitrite. When they do this, a byproduct of their work is an acid which of course will lower pH. Overtime the acid builds up and will naturally lower the pH.
Nitrates themselves dont inhibit discus (or general fish) growth. Yes, discus are more sensitive to nitrates than other fish and when the levels are elevated, it creates stress. This stress will cause them to reduce or even totally stop eating, cause them to become susceptable to intestinal problems (spiro/hex for example) and can lead to them getting sick period. All of that which of course means slower growth (or in extreme cases total lack of growth) This is true for all fish, though some are more resiliant than others to stress factors (tilapia are among the most resiliant to poor water quality). Stress comes in the form of wrong temp, pH, lighting, high nitrogen compounds (ammonia, nitrite, nitrate), low O2, general poor water quality, even flow rate and other tankmates. Those and many more are a vast array of stressors than can stress all fish and lead to problems.
-Ryan