This topic is about dealing with persistent and painful trapped gas for someone with an ileostomy. The person has tried common remedies like Gas-X and avoiding certain foods, but these have only provided minimal relief. They are seeking practical ways to release the trapped gas.

Here are some helpful suggestions and insights:

1. **Hydration and Blockage Check**
- It's important to drink plenty of water to prevent kinks or partial blockages that can trap gas.
- If you experience severe cramping, consult a doctor to rule out any small obstructions.

2. **Understanding Possible Kinks**
- Sometimes, a kink or fold in the small bowel can cause gas to build up until there's enough pressure for it to pass. This issue often improves over time.

3. **Anti-gas Medications and Timing**
- While Gas-X (simethicone) can be helpful, some find quicker relief with:
- Liquid Beano (simethicone + enzymes): Use 10 drops on the tongue before eating gassy foods.
- Generic simethicone capsules or tablets: Opt for higher strength if available and take them well before meals.
- Start taking these medications earlier than you think you need to, as waiting until discomfort starts might lead to more gas.

4. **Physical Techniques**
- Try a gentle, clockwise abdominal massage to encourage peristalsis.
- Use a firm patting or burping motion over the gassy area, similar to burping a baby. Some find pressing steadily a little left of center helps the pouch deflate.
- Lying on your left side can help gas pockets rise to the stoma and exit.

5. **Dietary Tweaks**
- Experiment with small amounts of soda, milk, or orange juice with meals to help move gas along.
- Continue to avoid or reduce high-fiber, greasy, or very gassy foods, and consider using liquid Beano when eating known triggers.

6. **Product Suggestions**
- Gas-X (simethicone)
- Beano Liquid Drops and Beano tablets
- Generic simethicone capsules, which contain the same ingredient and are often more affordable.