Emptying the Pouch: Best Positions?

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Behlers
Nov 19, 2025 11:14 pm

Can I ask how you empty your pouch into the toilet? Do you stand up, sit down, or get on your knees? Standing up can cause a lot of splashing and make a mess.

AlexT
Nov 20, 2025 12:10 am
Very helpful

Regular toilets, I kneel. Out in nature or using a porta potty, I stand. I tried sitting; it's not for me.

HenryM
Nov 20, 2025 12:17 am
Very helpful

It might depend upon the water level in your toilet.  Some are pretty much filled with water. Others, like mine, have a water level low enough that it leaves bare bowl sufficient to use when emptying while standing without splashing.

Posted by: freedancer

In both of my cases, I had no choice. It was surgery or be put 6 feet under! I thank God that He has been with me all these times. Without Him, I never would have known what to do and might not have gone to the hospital when I did. I don't know if you have had your surgery or not yet but I hope you will hang out on this website when you are done. I have learned a great deal through the people here and it is so great having others who have had the same thing done and been through what you are about to or have gone through. The only thing I have turned down is a reversal of the ileostomy. When the doctors did the emergency rebuilding of my original ileostomy this last February, I told them I did not want to go through this again. My doctor told me at that time that I was no longer a candidate for the reversal. In a way, I was very relieved. The last three years of my life have been a nightmare for me. I do not want to go through any of it again. If you wish to be rehooked up and they say you are a good choice for that, research it carefully. Every surgery I have ever had except for Old and New Maxine and the emergency surgery on my broken foot, I have spent weeks researching. I recently had my C5 C6 disk in my neck replaced with an artificial one. I went to my pre-op with 2 pages of questions for the doctor. I knew everything that they were going to do and could talk intelligently with them. I always try to research my adversaries! Don't cancel your surgery. It is nice not to have to suffer any longer with horrible pain. We all had to change a few things around when we had our surgeries but in the long run, most of us are glad we did it. I know I am. Good luck to you!

Beachboy
Nov 20, 2025 12:26 am
Very helpful

Public toilets, I kneel. I have an elongated Toto toilet at home, so I sit. Airplane... I just "hold it" and keep my fingers crossed.

xnine
Nov 20, 2025 12:29 am
Very helpful

I kneel; I have a garden weed-picking pad I use.

 

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NikkiD
Nov 20, 2025 1:03 am
Very helpful

I sit as far back on the seat as I can and put some toilet paper in the toilet before I empty it. It helps with splashing.

forsythe.r
Nov 20, 2025 1:43 am
Very helpful

Early years knees only with TP to help on splash. Now 70% knees but also sit. TMI - sometimes sit backwards. Forward or back both have pluses.

Night owl
Nov 20, 2025 1:44 am
Very helpful

Totally depends, and I've done all the above and probably more. It depends on time, place, situation, timing, current pouching system, how full/overfull, etc.

I personally would never kneel in a public bathroom, and mostly I sit and empty. At home, I have a sprayer attached to the toilet and rinse out my pouch that way. If I'm out and about, I try not to empty if I can since it's always a mess without a rinse, but sometimes you have to. I make the best of it and clean up better when I get back home.

If I have a closed-end pouch, it's pretty easy to lean over and dump it out since my gut notoriously likes to act up when the pouch is off! Lots of those kinds of stories 😜. At least I can try to aim for the toilet!

Good news is there's no right or wrong way to do it! And many to choose from!

TerryLT
Nov 20, 2025 1:45 am
Very helpful

I sit as far back on the toilet seat as possible. It also helps to have an oval-shaped toilet and seat instead of the older type of round shape. In public toilets, I still sit after wiping down the seat with a baby wipe or disinfectant wipe.

Terry

NikkiD
Nov 20, 2025 2:26 am
Very helpful

I've been wondering if I should replace my toilet with an elongated oval one. I bet it is easier to empty.

GoinWithTheFlow
Nov 20, 2025 5:31 am
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For home, Hubz uses a shower stool found at a thrift store for $9.00. It's comfortable, washable, and sits out of the way over the edge of the tub. This way, he can take his time to rinse out the pouch, add more lubricant, etc. In public facilities, he's tried all the options but says he mostly stands.

Hubz corrected me. The chair was $6.00!😆

Axl
Nov 20, 2025 5:40 am
Very helpful

Correct

Ben38
Nov 20, 2025 5:45 am
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Try every way and see which one works best for you.

HenryM
Nov 20, 2025 10:30 am
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For optimum emptying confidence, I recommend this solid gold toilet.  However many times per day you must empty your pouch, this lovely toilet promises to make it an experience to remember.

IGGIE
Nov 20, 2025 12:04 pm
Very helpful

I sit facing the back wall; it gives a bigger space in front of you.

The right way is the one that you like best. I stand when out; just put some paper in first, and it stops any splashing.

Regards, IGGIE

Hugo
Nov 20, 2025 12:23 pm
Very helpful

I always stand and just wipe the splashes up after I finish. Sitting doesn't work for me at all.

ron in mich
Nov 20, 2025 2:39 pm
Very helpful

Hi all, I'm a sitter on the shitter, enough said.

warrior
Nov 20, 2025 2:44 pm
Very helpful

Haven't sat on the toilet since 2016, after colon removal.

Can't kneel, won't sit.

Standing (over toilet) makes a mess. 🤦

Found emptying into a handheld container, then dumping into the toilet saves time, TP, and less mess. Also, as you dump, you flush, as it minimizes the stink and backsplash. Works for me several years. Saves knees and back, too.

In public, line the toilet with TP. Stand. Dump. Flush. If possible. Run like hell!

Those damn eye sensors on them self-flushing loos can be really challenging. I just poke it 🧏‍♂️

👀😋

SusanT
Nov 20, 2025 4:24 pm
Very helpful

I normally use a closed-end pouch, and I sit to change that.

When I've worn drainable pouches, I use the handheld container method described by warrior.

I think a lot depends on where your ostomy is placed. I was taught to empty sitting down, but that is super difficult because the bottom of the bag comes to about the top of my leg. I tend to get it all over myself when I do that. But if my stoma was lower down, sitting might seem perfect to me.

PS the urostomy gets emptied standing up. A little toilet paper seems to prevent splashing. It isn't enough for the colostomy, though.

Audrey Warren
Nov 20, 2025 4:34 pm
Very helpful

I stand over the sink and empty into a large Tupperware bowl, then empty into the toilet and rinse the container. Then I sit on a stool in the bathroom and play solitaire while I wait for the second load. Because of IBS-C, I usually go three or four times. The record was 11.

Then I'm done for the day—usually.😫

TerryLT
Nov 20, 2025 9:53 pm
Very helpful

OMG, yes, I hate those self-flushing loos with sensors! There is nothing quite like having your bum washed with a combination of the toilet water and the poo that was already in the bowl! I've learned my lesson the hard way and won't sit on them.

Terry

eefyjig
Nov 20, 2025 10:28 pm
Very helpful

Sitting works for me. I've gotten very good at getting everything that's in my bag into the toilet without a mess. It's easier to empty at home since I have my cup for flushing out my bag with water, M9 drops handy, and nice sturdy Charmin toilet tissue. With an ileo, emptying away from home is inevitable. It's quick, very unlike my UC and J-pouch days when I sat for a long time, typically in pain, wondering if people wondered what was taking me so long.

ChuckC in AZ
Nov 20, 2025 11:43 pm
Very helpful

I am quite new to this and have tried various positions. So far, the most successful is to just squat down low and lean in, facing the pot.

I'm sure not everyone can do this.

But I'm still fairly limber for an old guy.😅

When I get through with treatments and get to go home, I plan on installing a bidet on my commode to wash out the bag. Right now, I'm just using toilet paper and washing my hands really well while staying at an Airbnb.

AlexT
Nov 21, 2025 1:02 am
Very helpful

I squat sometimes too. 👍 I'm not really familiar with a bidet system, but I'd think you'd always be getting “bag water” on it if you're spraying upwards into the bag. Or maybe I'm missing the technique. 🤷‍♂️🤔 Simply using a cup or some sort of container to pour water into the bag has been as easy as it gets for me.

warrior
Nov 21, 2025 2:22 am

Yup. The squat. Been there. Do it. Sometimes, but it puts a toll on knees, no?

GoinWithTheFlow
Nov 21, 2025 2:28 am


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Not sure what place on the internet I saw this bad boy! I seem to remember it being proposed for all public restrooms in some European country?! Wouldn't that be nice?!

Iggie and a couple other folks said these are in public restrooms in Japan!!

AlexT
Nov 21, 2025 3:58 am

No toll on the knees when you're not old.

warrior
Nov 21, 2025 10:38 am

"Old" has nothing to do with it, my friend.

If you have early onset arthritis, which I did in my 50s, it is a toll on every joint.

I know people with Crohn's and colitis in their 20s and 30s with it, too. IBD, the gift that keeps giving.

Luckily, there is physical therapy and a pill for that. 👍 Injections, too.

IGGIE
Nov 21, 2025 10:55 am

They have that type of outlet in Japan.

IGGIE

SusanT
Nov 21, 2025 1:49 pm

Age catches up with everyone lucky enough to live that long.