This topic is about managing a high-output ileostomy pouch while enjoying outdoor activities like hiking, kayaking, or backpacking. The person sharing their experience has been living with a high-output ileostomy for 18 months following health challenges and is seeking advice on how to handle their pouch in the great outdoors without access to restrooms. Here are some practical tips and items to consider bringing along:

1. Seal-it-and-pack-it method:
- Use a small hard-sided container lined with a large, heavy-duty Ziploc-type bag to empty the pouch. Seal the bag and store it until you can dispose of it properly.
- Bring wet wipes, baby wipes, or paper towels for cleaning up.

2. Cathole / bury-it method:
- Carry a lightweight backpacking trowel.
- Dig a 6-8 inch hole, empty the pouch into it, and cover it with soil and leaves.
- Be careful to keep your clothing away from the open pouch to avoid splashes.

3. High-capacity or temporary pouches:
- Consider using an irrigation sleeve or extra-large drainable pouches on hiking days. These can serve as temporary solutions and be switched back to regular pouches later.

4. Full-swap approach:
- Find a private spot to remove the used pouch, clean the stoma, and attach a fresh pouch. Dispose of the used one in a sealable bag.
- This method works with both one-piece and two-piece appliances.

5. Vehicle / kayak back-ups:
- Keep wide-mouth plastic urinals or bottles in your car or kayak for emergencies when you can't reach a restroom.

6. Ready-to-hike supply kit suggestions:
- Include a lightweight trowel or small gardening shovel.
- Bring a peri-bottle or small water bottles for rinsing.
- Pack spare wafers and pouches.
- Have Safe n Simple wipes, baby wipes, or barrier wipes on hand.
- Use large Ziploc bags, dog-waste bags, or scent-blocking bags for disposal.
- Carry a clamp if using an irrigation sleeve.

7. General mindset tips:
- Be prepared to empty your pouch every 5–15 minutes if needed. It's better to prioritize your needs and empty discreetly than risk a leak.
- In remote areas, responsible disposal is usually acceptable. In sensitive areas or where plastic bags are banned, the cathole method is a good alternative.