This topic is about managing a colostomy pouch when the output is thick, which can make it difficult to empty. The person is looking for advice on whether it's safe to use tap water for rinsing the pouch and if using products like Miralax or stool-softener tablets can help. They didn't receive guidance from the hospital and often forget to ask their nurse, so they're reaching out for practical tips.

Here are some helpful suggestions:

1. Using warm tap water for rinsing:
- You can use the "slosh method" by filling the pouch about halfway with warm tap water, swishing it around, and then emptying it while the toilet is flushing to minimize splashing.
- A squeeze or cleansing bottle can make this process easier. Aim the water stream upward to gently wash the stoma.

2. Keeping rinse supplies accessible:
- Consider buying several inexpensive squeeze or cleansing bottles. Keep one in each bathroom and an extra in your travel or emergency kit.

3. Adding lubricants to prevent sticking:
- After rinsing, you can add a small amount of baby oil, olive oil, or a commercial lubricating deodorant to the pouch. This helps the thick stool slide more easily toward the outlet and can add a pleasant scent.

4. Simplifying your routine:
- Some people prefer a minimalist approach, using basic supplies like a bagless shower, a simple pouch, adhesive-remover wipes, small scissors, stoma powder, and skin-barrier wipes. This shows that you don't always need a lot of products to manage your ostomy effectively.