The topic at hand is about dealing with a common issue faced by ostomy users known as "pancaking." This happens when stool collects around the stoma instead of dropping into the pouch, despite trying different pouching systems and lubricants. Here are some helpful tips and insights shared by others who have faced similar challenges:

1. Consider colostomy irrigation:
- Some people find that irrigating their colostomy can almost completely stop output for 24 to 36 hours, which helps prevent pancaking.
- For more information, you can look up detailed instructions in online forums, search for videos on YouTube, or consult with a stoma nurse.

2. Maintain air space in the pouch:
- To prevent a vacuum effect, cover or disable the filter with a sticker and blow a little air into the pouch after emptying it.
- Using a stoma guard can also help by preventing the pouch from being compressed.

3. Lubricate or "milk" the pouch:
- Add a bit of baby oil or another lubricant inside the pouch each time you empty it. Some people also manually "milk" the output down the bag to help it move.

4. Keep stool consistency softer if too thick:
- Consider using stool softeners like Colace (docusate) twice daily or Miralax every day or every other day.
- If your output is too loose, you might need to do the opposite, such as using Imodium, and adjust based on your own needs.

5. Hydration is critical:
- Drinking large amounts of water, such as two 64-ounce bottles per day, can help reduce pancaking. Coffee might also help stimulate easier output flow.

6. Alternate emptying/cleaning techniques:
- If you use a two-piece appliance, you can detach the pouch from the top to remove stool when it collects around the stoma.
- Rinsing the pouch with warm water after emptying can help clear any residue.

7. Simple physical aids:
- Placing a single piece of Kleenex or toilet paper at the bottom of the pouch can help keep it open and reduce pancaking, a tip shared by the originator.