This topic is about finding the right size and type of ostomy pouch for someone who experiences frequent and loose output. The person currently uses a closed-end pouch but finds it fills up too quickly, leading to frequent changes and exceeding their monthly supply allowance. They are considering switching to a drainable pouch and are seeking advice on the best options and solutions.

Here are some helpful suggestions:

1. Consider switching from a closed-end to a drainable pouch. Many people find that a drainable pouch is essential for managing frequent or liquid output, as it significantly reduces the number of pouches needed.

2. Reach out to Coloplast directly to get detailed information about pouch sizes and capacities. They can also provide free samples of drainable pouches to try before making a decision. You can contact their US customer service at 1-888-726-7872.

3. Explore alternative brands, such as the Hollister CeraPlus New Image 2-piece system. This system, which includes a specific skin barrier and drainable pouch, is known for its secure fit, ease of emptying, and leak-free performance over several days.

4. For Coloplast drainable pouches, using a barrier ring can extend wear time to 7-8 days. Reinforcing the flange with paper medical tape and using a hair-dryer to dry the area after showers can help prevent blow-outs.

5. To thicken the output, consider taking Imodium (loperamide). One tablet after each meal can slow down the bowel and reduce the liquidity of the output, which can help extend the wear time of any pouch brand.