The topic at hand is about the safety of inserting gauze or similar items into a stoma during an appliance change. The original poster was curious if this method could help block output while changing their appliance and sought advice on how far such an item could be inserted. Here's a summary of the advice and insights shared by others:

1. After considering early responses, the poster decided against inserting anything into the stoma. Instead, they:
- Hold a plastic bottle cap lightly over the stoma while cleaning.
- Change their appliance late at night, about 45 minutes after eating five marshmallows to slow down output.

2. They inquired about "plug-type things," but found that the suggested Coloplast Conseal Plug is only for colostomies, has been discontinued, and is not suitable for ileostomies.

3. General advice strongly discourages inserting gauze, tampons, suppositories, or any object into a stoma without explicit guidance from a stoma nurse or surgeon due to risks like bleeding, perforation, infection, and obstruction.
- Many members were advised by healthcare professionals never to insert anything into a stoma, even enemas or laxatives are discouraged, though stool softeners are acceptable.
- A few clinicians have suggested small tampons, but this is generally advised against, especially for ileostomies.

4. Instead of plugging, use timing to manage output:
- Identify "quiet" periods such as early morning, late afternoon, or about two hours after meals.
- Some people change their appliance immediately after showering or twice weekly to avoid emergency changes.
- Eating marshmallows 30-60 minutes beforehand or not drinking anything for a couple of hours can slow ileostomy output for many.

5. Practical tips for controlling leaks during changes:
- Have all supplies ready, including a new flange, pouch, powder, and paste.
- Bend forward slightly so output falls away from the skin; stand or sit over the toilet; use disposable under-pads, paper towels, or tissues to catch drips.
- Roll or gently pinch Kleenex around (not into) the stoma, or lightly squeeze around it to draw out residual stool.
- Some users shower with the pouch off, then pat the stoma dry, cover with tissue, and apply the new wafer while the stoma is still inactive.
- Cold water on the stoma can temporarily shrink it and slow output for a quick change.

6. For colostomies, irrigation and manufactured plugs are options:
- Colostomates who irrigate may use an irrigation cone or used to use the Coloplast Conseal Plug to block output for a short, controlled period.
- Some users of the Coloplast one-piece Assura report irrigating through the pouch, then waiting 1-2 hours before removing the appliance to shower and change, avoiding output during that time.

7. Alternative viewpoints:
- A few colostomy users have safely used small tampons or Conseal Plugs long-term with their surgeon's approval.
- One surgeon placed a suppository through a stoma for infection treatment, but members emphasize that such interventions should only be done by trained professionals.

The main takeaway is to rely on timing, preparation, and absorbent barriers rather than internal "plugs," and always consult your stoma nurse or surgeon before inserting anything into a stoma.