Topic Explanation
The forum topic is about whether an ostomy pouch belt is necessary for individuals with high constant output ileostomy. The original poster is questioning the necessity of wearing the belt and seeks advice from others who have experience with ostomy pouches.

Advice and Insights
- Some individuals do not wear a belt with their ostomy pouch, especially when using a lightweight appliance, and have not experienced any issues.
- Wearing a belt can provide a sense of security but may not necessarily prevent the pouch from detaching in certain situations.
- Trying going without wearing a belt at home to see how it goes before deciding whether to omit it.
- Wearing high-waisted underpants that are one size larger can provide support and prevent the pouch from falling off, especially when out and about.
- Some individuals find the belt to be a safety net when out and about, especially in case of a barrier leak, but they enjoy the freedom of not wearing it at home.
- It's important to consider the potential risk of developing a hernia over time and to weigh the sense of temporary freedom against the need for a support system.
- Some individuals find wearing both a belt and a wrap around provides them with peace of mind and support, especially to prevent hernia.

End of Extracted Discussion