This topic is about finding ways to reduce splashes when emptying a high-output ileostomy pouch into the toilet. The caregiver of a woman with this condition is looking for practical tips to make the process cleaner and less stressful. Here are some helpful suggestions:

1. Place a sheet of toilet paper on the water surface before emptying to help reduce splashes.
2. Start emptying while the toilet is flushing or when the water level is low to help carry the output away.
3. Aim the output toward the porcelain at the front or side of the bowl instead of directly into the water.
4. Hold the pouch tail close to the water or use a longer pouch to minimize the drop distance and control the flow rate.
5. Sit back on the seat and empty between the legs. Some people find kneeling on a cushion in front of the toilet reduces height and splashes.
6. Consider replacing the toilet or seat with:
- A larger, elongated bowl for a wider landing area.
- A quick-release seat or a narrow custom seat positioned at the back for more front clearance.
7. Use an irrigation sleeve at night, which unfolds deep into the bowl and nearly reaches the water, reducing splashes.
8. Keep disinfectant wipes handy to clean the rim, lid, and surrounding area after each use. Consider splash-resistant wall surfaces for easier cleaning.
9. In controlled hygiene situations, some people empty into a sink with running water and rinse thoroughly, though this comes with sanitary risks.
10. Encourage patience and shared responsibility. Let the user know where splashes occur, offer help with cleaning, or seek guidance from an ostomy nurse for technique coaching.