This topic is about transitioning from using full pouches to stoma caps after starting colostomy irrigation. The idea is that stoma caps might offer more freedom and make it easier to wear different clothes and engage in various activities. Here are some insights and advice shared by others who have experience with this:

- If you're considering stoma caps instead of plugs, some people who irrigate successfully use a Coloplast stoma cap all day. They suggest placing a larger pouch loosely over the cap for the first 30 minutes after irrigation to catch any unexpected output. Alternatively, Coloplast Stoma Plugs, which are tampon-shaped and made from gas-permeable material, can be used. These plugs sit inside the stoma, allowing gas to escape while blocking stool, and they can help prevent a hernia opening from closing.

- When it comes to irrigation methods, some have found that gravity bags can be slow or ineffective if the bowel resists water entry. Switching to a pumped or pressurized system can reduce fill time to about 4-5 minutes for approximately 1.2 liters, leading to more predictable results and making it feasible to use a cap all day.

- For those interested in commercial pump options, the Braun "Irrimatic" pressurized irrigator is one option. It is electrical, has adjustable pressure, and a 2-liter capacity. It includes a cone and sleeves and costs around £322 in the UK. However, it is not available on NHS prescription, though some have obtained funding. It has some drawbacks, such as an open-top reservoir that can spill, a limited 2-liter volume for those needing more, and a basic charger design. There is a 30-day return option.

- Some have created DIY pump solutions, such as adapting a 3-5 liter hand-pump garden sprayer with a Coloplast regulator and anal catheter for higher capacity and portability. Another option is using a portable electric camping shower with a plastic cereal container, though this setup may not last long-term.

- When choosing between cones and catheters, some people with strong peristomal muscles or hernias find it difficult to use a standard cone. A slim anal catheter on a pressurized system can work in these cases, but there is a risk of colon puncture if forced. The cone method is generally recommended for most people.

- For practical tips, after irrigation, cover the stoma cap with a larger pouch for the first 30 minutes to catch any wet blow-back. While occasional gas-propelled leaks can happen, caps generally stay clean and discreet, even when swimming.

- Overall, many have found that using a pump for irrigation is a "game changer," as it eliminates issues like ballooning and pancaking, allowing them to wear stoma caps instead of pouches in their daily lives.