This topic is about managing the issue of "ballooning" in a stoma pouch, which happens when eating homemade sourdough bread and other types of bread. Ballooning refers to the pouch filling up with air, which can be inconvenient and sometimes embarrassing. The person enjoys eating sourdough bread and is looking for ways to reduce or stop the gas build-up while still enjoying their favorite food.
Here are some helpful tips and insights:
1. Bread, grains, and cereals are known to produce gas. Many people with ostomies either avoid these foods or eat them when they can stay home and vent the pouch frequently.
2. Irrigation, which is a method of flushing the colon, can significantly reduce output and gas for up to 48 hours for those with a healthy remaining descending colon. It's worth discussing with a stoma nurse or doctor to see if this is an option for you.
3. Mechanical and behavioral tips:
- Chew each bite thoroughly, about 32 times, to break down any air bubbles in the food.
- Limit fluid intake during meals to around 4 ounces to reduce the amount of air swallowed.
- Avoid lying down or sleeping soon after eating bread, as this can lead to night-time ballooning, which might cause leaks. If you must sleep soon after eating, consider using bed pads.
4. Over-the-counter anti-gas products can help:
- Gas-X, which contains simethicone, or any generic simethicone product.
- Beano, which contains the enzyme α-galactosidase.
- These products are available at places like Walmart, Amazon, and most pharmacies.
5. If bread is an essential part of your diet, such as in cases of Short Bowel Syndrome, try to keep portions small when eating out and be prepared to vent the pouch more often.
6. An air-release valve on the pouch can help manage the air, but it doesn't eliminate odor. Carrying odor-control drops or deodorizing sachets can make venting in public more manageable.
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