This topic is about managing the challenges of "pancaking" and sticky output when using a two-piece convex colostomy system. Pancaking occurs when stool sticks around the stoma instead of dropping into the pouch, which can make you feel unclean. Here are some helpful tips and insights to manage these issues:

1. **Hydration & Diet**
- Increase your overall fluid intake, especially water, to help thin the output and reduce pancaking.
- Consider reducing high-carbohydrate foods, as they can contribute to thick, sticky stool.

2. **Air & Filter Management**
- Leave a little air in the pouch to help the output drop away from the stoma.
- If the built-in filter causes the pouch to deflate too quickly, you might want to cover or avoid using it.

3. **Lubrication Inside the Pouch**
- Use lubricants like baby oil, M9 Odor & Lubricating Drops, or Brava Lubricating Deodorant. Add a squirt after each empty.
- These lubricants are often covered by insurance, and travel sizes are available for convenience.
- If pancaking starts, gently massage the pouch exterior to help move the stool downward.

4. **Emptying & Rinsing Techniques**
- Sit far back on the toilet and empty the pouch when it is about ¼ to ⅓ full.
- Keep a squeeze or spray bottle of water by the toilet. After emptying, squirt water into the pouch, roll the tail a couple of times, swish, and then drain to rinse the interior. This can be done at home; at work, do a quick empty and clean the tail.
- Use toilet paper to wipe the tail and consider using disposable gloves if desired.

5. **Choice of Pouch**
- Mini drainable pouches are popular as they can be emptied rather than changed, allowing for more than two uses per day.
- A two-piece drainable pouch works similarly to a one-piece drainable, so you don't need to detach it from the coupling.
- If you prefer closed pouches, plan on using more than three per day or learn to carefully empty and rinse them to make your supplies last longer.

6. **Alternative Option: Colostomy Irrigation**
- Colostomy irrigation can eliminate daytime stool output and the need for bags, offering greater freedom.
- It requires training from a stoma nurse and may not be suitable for everyone. You can find videos and user experiences online for more information.

7. **General Coping Tips**
- Be patient with yourself during the adjustment period and try different brands and styles until you find what works best for you.
- Empty the pouch frequently to avoid overfilling and minimize odor; many people find it helpful to empty during every restroom visit.