This topic is about finding ways to reduce pressure on a stoma during the night, especially for those who are on blood thinners. Blood thinners can make any trauma to the stoma more likely to bleed, so it's important to minimize any pressure or contact that might cause issues. The concern here is that a small bedside pouch can fill up and press against the stoma while sleeping, potentially leading to bleeding. The goal is to find a way to avoid this by using a drainage system that doesn't put weight on the stoma.

Here are some helpful suggestions:

1. Consider using a two-piece system that allows you to connect a night hose directly to the pouch outlet. This setup can help you avoid using an intermediate bedside bag. One option is:
- A Coloplast SenSura Mio Click 2-piece pouch, which can be worn horizontally.
- A Coloplast night drainage bag with a light, flexible hose that connects directly to the pouch drain.
- Position the hose to your right side and hang the night bag from the bed rail to ensure no weight is placed on the stoma.

2. If you find that the fit of your appliance or the rigidity of the barrier is causing pressure, it might be helpful to consult with an enterostomal (WOC) nurse. They can assess the position of your pouch, the flexibility of the barrier, and suggest alternative wafer styles that might be more comfortable for you.