The discussion revolves around the Coloplast Sensura Mio Convex Flip and its effectiveness for people with high-output ostomies. The original poster switched from Hollister products to see if a different adhesive could help with skin irritation. Here are some insights and advice shared in the conversation:

- The Mio barrier has belt tabs, so it's important to ensure the correct orientation when using it.
- The convex barrier of the Mio has a unique star-shaped design that grips well but is made of semi-rigid plastic, unlike the cloth backing of Hollister products.
- The Mio pouch is smaller than Hollister’s high-output pouch, requiring more frequent emptying. Its roll-up Velcro closure can be messier and slower compared to Hollister’s clamp.
- The initial filter version of the Mio pouch clogs quickly, and there is no larger vented pouch available in the catalogue.
- There is a concern about the small pouch overfilling if the user falls asleep, prompting a search for larger Coloplast options or a way to adapt Hollister’s clamp.

Additional questions and information include:

- Coloplast offers a larger high-output pouch with a hard plastic funnel/plug, similar to their urostomy bag. There is a question about whether the funnel can be cut off to attach a Hollister curved clamp.
- The Convex Flip’s elastic rings swell with output, unlike Hollister’s. There is curiosity about using Coloplast rings with Hollister barriers if switching back.
- Cutting the tips off the Convex Flip’s five “fingers” can reduce skin contact.
- The effectiveness of Coloplast adhesive in calming dermatitis is still being evaluated, with a dermatologist consultation planned.
- Measuring true 24-hour output is challenging, and current hydration is managed with loperamide and diphenoxylate-atropine.

Advice and insights from other users include:

1. Some users prefer the Coloplast Sensura Mio two-piece pouch 11474 for its secure lock-ring and effective Velcro tail.
2. If the Flip’s filter clogs, you can request a non-filter pouch from Coloplast or remove the filter yourself, with guidance available on YouTube.
3. For very high output, consider the Coloplast “Click High Output” pouch 18612 or other high-output pouches with a spigot, which can be modified to attach a Hollister clamp.
4. A Nu-Hope ostomy support belt or Stealth Belt can add rigidity and prevent leaks, offering more strength than the thin Coloplast belt.
5. If Hollister adhesive causes irritation but you prefer its pouch/closure, try placing a Coloplast Brava protective sheet or another skin-barrier film under the Hollister wafer.
6. Some clinicians modify the Flip’s funnel/plug to use a standard curved clamp, which can be obtained from support groups.
7. Antidiarrheals like loperamide can help reduce emptying frequency, but it's best to confirm the dosage with an ostomy nurse.
8. Persistent redness or itching might be fungal; over-the-counter antifungal powders or creams can help, or consult a physician for oral fluconazole.
9. Users who find thin pouches unsatisfactory report that Marlen vinyl pouches are sturdier and easier to clean, though they have a more traditional design.
10. For those who rarely experience pancaking and prioritize sleep security, a transparent pouch without a filter or an extra-long high-output bag can allow for uninterrupted sleep.
11. While Velcro roll-up tails are slower, they are less likely to fall into a public toilet compared to clips. It's advisable to replace clips or Velcro parts as they wear out.