This topic is about finding affordable and safe ways to thicken the output in an ileostomy pouch to prevent leaks, especially overnight. The person asking for advice is looking for alternatives to commercial gelling sachets, which are too expensive for them. Here are some helpful suggestions and insights:

1. Consider dietary changes instead of in-pouch additives:
- Eating high-residue foods like pasta, pancakes, and other dense carbohydrates can help thicken the output.
- Reducing or avoiding large amounts of caffeine and alcohol can prevent watery output.
- Taking a small, carefully measured dose of Metamucil (psyllium husk) orally may help firm up the output for some individuals.

2. Ensure the appliance fits well to prevent leaks:
- Consult with an enterostomal (WOC) nurse to evaluate the shape and fit of the wafer, whether it should be flat or convex.
- If there are gaps due to skin contours, consider using a barrier ring or wafer underlay.

3. Use mechanical supports:
- An ostomy belt that clips to the pouch can provide gentle, even pressure, reducing the chance of edge lift-off and leaks.
- Sleeping slightly propped up on your back with pillows can help gravity pull the output to the bottom of the pouch instead of toward the wafer.

4. Manage nighttime emptying:
- Many people with an ileostomy find they need to wake up during the night to empty their pouch. Learning to wake, empty, and fall back asleep can be necessary.

5. Explore product and information resources:
- Commercial gelling sachets like ParSORB and similar brands are available.
- For detailed comparisons of gelling products and DIY options, check out resources like veganostomy.ca, which offers a "Guide to Ostomy Gelling Products.