Question: What should I do if my ostomy output is more than the bag can hold?

Answer: Based on discussions from the MeetAnOstoMate Discussion Forum, here are several strategies to manage ostomy output that exceeds the capacity of the bag:

1. Bag Management:
- Use larger capacity bags, especially at night, to accommodate higher output. High-output bags from brands like Hollister and Coloplast are recommended.
- Consider using a two-piece system, which allows for easier management of the bag and the ability to "burp" the bag to release excess air.

2. Dietary Adjustments:
- Modify your diet to help manage output consistency and volume. Foods like potatoes, marshmallows, bananas, and oatmeal can help thicken the output.
- Avoid high water content foods and drinks that can increase output, especially in the evening.

3. Regular Emptying:
- Empty the bag when it is about one-third to half full to prevent overflows and leaks.
- Set alarms to wake up and empty the bag during the night if necessary.

4. Use of Irrigation:
- For colostomies, consider irrigation to regulate bowel movements and reduce the frequency of output.

5. Medication and Supplements:
- Medications like loperamide (Imodium) can help slow down output. Consult with a healthcare provider for appropriate use.
- Fiber supplements like psyllium can help manage stool consistency.

6. Nighttime Solutions:
- Use a night drainage bag or connect the ostomy bag to an overnight drainage system to reduce the need for frequent emptying.
- Consider using an irrigation sleeve at night for high-output situations.

7. Professional Consultation:
- Consult with an ostomy nurse or healthcare provider for personalized advice and to explore medication options or dietary changes.

8. Additional Tips:
- Use support belts to manage the weight of a full pouch and prevent leaks.
- Keep a diary of food intake and output to identify patterns and make necessary adjustments.

If these strategies do not resolve the issue, consider posting your question in the MeetAnOstoMate Discussion Forum for further advice from the community. Always consult with a healthcare professional before making significant changes to your management routine.

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