This discussion revolves around finding solutions for issues related to ostomy care, specifically dealing with leaks and noise from ostomy bags. The person sharing their experience is looking for advice on better barrier rings and quieter bags after having some trouble with their current setup. Here’s a summary of their journey and the advice they received:

- Initially, they used a Hollister two-piece system, which lasted 4-5 days without leaks but was noisy and thin.
- They switched to a Coloplast Sensura Mio two-piece Click system but experienced leaks due to pancaking, where the output sticks to the stoma.
- They tried various preventive measures like increasing fluid intake, taping the vent, and manually moving the output, but leaks persisted.
- They noticed differences in the hardware between the two brands and wondered if the size and stiffness of the coupling ring affected pancaking.
- They are currently experimenting with a Coloplast wafer and a Hollister Adapt barrier ring.

They are seeking advice on:

1. Whether other moldable or barrier rings might work better.
2. Which companies offer quieter and more comfortable bags than Hollister.

Additional considerations and questions include:

- They use pouch lubricant but are unsure if they are using enough.
- They are considering irrigation once approved by their healthcare provider.
- They are curious about whether others cut their own wafer openings or use pre-cut ones, and what size adapter ring others use with the Sensura Mio.

Advice and insights shared by others include:

- Increasing the amount of pouch lubricant and applying it to both the inside of the pouch and the wafer can help with pancaking.
- Covering the Mio filter with tape and adding a little air can prevent the pouch from sticking too closely.
- Using Hollister Adapt or Eakin Cohesive rings has been reliable for many, and some prefer them over Coloplast rings.
- Coloplast Brava Paste combined with Cavilon No Sting Barrier Film wipes can prevent leaks and pancaking without using a ring.
- Some users have found success with the Coloplast Sensura Mio convex Click system combined with Brava Paste and loose clothing.
- Others have returned to Hollister systems due to persistent leaks with Sensura Mio products.
- Colostomy irrigation is recommended by some, often allowed six weeks post-surgery, but should be discussed with a medical team.
- Coloplast offers Mio pouches without a filter, but they are only available in transparent.
- Support belts like StealthBelt and SIIL Ostomy Belt provide extra support, especially for active work.

General takeaways include the importance of using convex wafers, adequate lubrication, loose clothing, and frequent wafer changes to reduce pancaking and leaks. Many find Hollister systems sturdier and quieter despite their appearance.