This topic is about transitioning from using large ostomy bags to a more comfortable and discreet solution involving Coloplast Conseal stoma plugs and daily irrigation. The original poster shares their personal experience of moving away from bulky, leaking bags to a system that offers more freedom and confidence. Here are some helpful insights and advice based on their journey:

1. The Coloplast Conseal stoma plug is used after being sized and approved by a stoma nurse. It is important to ensure that this product is suitable for you.

2. Daily or every 1½-day irrigation is essential when using a stoma plug. This practice has allowed the original poster to stop using Imodium.

3. Benefits of using the stoma plug include:
- Comfort and ease of fitting and removal
- Security and a low profile under clothing
- No snags or leaks
- A charcoal filter that allows gas to vent
- No need to empty anything during the day, which is especially useful for activities like swimming

4. To prevent blockages during irrigation, the original poster switched from a gravity drip bag to a hand-pump pressure sprayer with a standard irrigation cone. A helpful tip from a nurse is to instill a small amount of water first to allow initial stool evacuation, then complete the flush to reach deeper areas.

5. In the UK, the National Health Service covers the cost of these supplies. For those outside the UK, Coloplast can provide pricing information. They are also working on a commercial pressure-irrigation system, though it may take some time before it becomes available.

6. Regarding stoma plugs:
- Some clinicians advise against occluding a stoma due to concerns about faecal retention and blockage.
- If interested in using a plug, seek approval from a stoma nurse or colorectal surgeon and ensure you have enough large bowel to tolerate irrigation.

7. On the use of Imodium (loperamide):
- Some ostomates are advised to avoid it entirely with a stoma.
- Others have successfully used up to 6 tablets daily for 18 months to thicken output and reduce fluid loss without issues.
- A colorectal surgeon suggests using Imodium when bowel movements exceed once daily, but dosage and suitability should be directed by a physician.

8. Cautions for irrigation:
- Those with Crohn’s disease, ulcerative colitis, diverticulitis, or no residual large colon are advised against irrigation due to the risk of perforation.
- Users with a permanent ileostomy generally cannot irrigate.

9. To prevent blockages during irrigation:
- If the flow stalls, a gentle pressure sprayer can help restart the process. Introducing water in two stages (initial flush, partial evacuation, second flush) can help reach deeper areas.

10. For costs and sourcing outside the UK, contact Coloplast for pricing on the Coloplast Conseal plugs and irrigation equipment.