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Oct 25, 2022

Sitting Backwards - A Better Way to Empty?

This topic is about different ways to empty an ostomy pouch, specifically focusing on the method of sitting backwards on the toilet, facing the tank. The originator of this idea finds it beneficial for several reasons and is curious if others have tried it and found it helpful. Here are some insights and advice on this and other methods:

1. Sitting backwards on the toilet:
- Provides more space without the tank pressing against your back, making it easier to aim and wipe.
- Offers better control over where the output lands, reducing splashes.
- Allows the water container to rest on the tank during irrigation.

2. Additional tips for sitting backwards:
- Keeping underwear on can make this position more convenient for those with male anatomy.
- Flushing first to remove bowl water can help reduce splashing.

3. Conventional sitting (facing forward):
- Lean forward and line the front of the bowl with a few squares of toilet paper to prevent splashes and sticking.
- This position offers more stability and is easier when urinating simultaneously.

4. Sitting sideways:
- Useful when space in front is limited or when using small restrooms, like on airplanes.

5. Standing and facing the tank:
- Preferred by some for liquid or heavy output, as it provides more clearance and easier aiming.
- Draping a long strip of toilet paper from the rim into the water can help eliminate splashes.

6. Kneeling:
- A common choice when the stoma is at or above navel height, protecting clothing from backsplash.
- Can be tough on the knees, so using padded jeans, kneeling pads, or alternating knees can help.

7. Squatting or half-squatting in public toilets:
- Avoids contact with the seat; using disinfectant spray first is another option.

8. Removable or custom toilet seats:
- Quick-release hinges and a homemade narrow seat allow sitting farther back, providing more room in front.

9. One-leg-up technique:
- Standing with one foot on the toilet rim can speed up evacuation during irrigation, though it may not work for everyone.

10. Using a stool in front of the toilet:
- Allows sitting facing the bowl without straining the knees.

11. Thick output tip:
- Pour a small amount of warm water into the pouch, swish it around, then empty to help liquefy contents.

12. Bag liners:
- For two-piece systems, disposable liners can be removed instead of emptying the pouch. Not suitable for one-piece pouches or septic systems.

13. Clothing hacks:
- Boiler suits or dropping trousers to the ankles provide full front access when facing the tank.

14. General advice:
- Experiment with different positions (forward, backward, sideways, standing, kneeling) to find what works best for your physical ability, bathroom layout, stool consistency, and hygiene needs.
See full discusison
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