Mtnman,
I got a notification in my email and when I opened it, I was taken to the reply you made to Lovely. Guess I don't know how to use this website that well.
However, I'd like to insert here the last entry I made in my medical journal just today. Hope it's not a waste of time....
"Everything is settling. The stoma shape is still changing. More oval. And protruding a bit more. The shape and consistency of the output is greatly improved with the high fiber diet and the output is very sensitive to any change in diet. I used mineral oil as a lubricant inside the bag for a month with good results. The problem with that choice is it seeps at the tail and makes handling a little challenging, requiring more work to an otherwise ideal choice. I performed an experiment with three lubricants on a strip of non-stick material. I deposited ¾ inch diameter of the lubricants, one of mineral oil, and one each of Hollister Adapt and Coloplast Brava. I let it sit undisturbed and observed whether it spread. It didn't appear to. Then I took my finger and did a spreading motion about a half inch, dragging the sample outward. The Brava appeared to shrink back toward the original pool (not desired for lubricant control). Then, turning the strip on edge, the Brava was the first to run off with mineral oil running more slowly while the Adapt did not appear to succumb to the effect of gravity at all. So I'm now evaluating the Adapt lubricant to compare results with the mineral oil which was used for a month (which was mostly satisfactory). The reason to choose a lubricant that resists gravity is to keep it up toward the top of the bag to aid stool more easily falling to the bottom."
I'd like to further add: I use a clear bag. For greatly improving performance, for me, I crinkle up the clear plastic so it is very loose and flexible. The stiffness of the new, clear bag adds too much to the vacuum effect and the crinkling relaxes that characteristic. I make sure I completely cover the filter so whatever air I put into the bag stays there. I also work the lubricant up to the interior of the filter to aid in stopping air escaping. With the Hollister product, it is easy to control ballooning and controlling air quantity.
So, for me, with a four-month-old colostomy, crinkling the Hollister bag to relax it, increasing fiber in my diet, adequate hydration but not overdoing it, and lubrication has made my ostomy experience a giant step toward manageability.
Regards,
Keepers51