This topic is about finding practical solutions for someone who has a colostomy located at the waistline, which is causing issues with bag leaks and clothing discomfort. Here are some helpful suggestions to address these challenges:

1. Clothing Options
- Try wearing Dockers trousers with a slightly expandable waistband to reduce pressure on the pouch.
- Use stretch belts from Dockers to hold pants up without applying tight compression around the stoma area.
- Consider using suspenders (also known as braces) to keep trousers in place while avoiding pressure from a waistband.

2. Appliance Management
- Look into colostomy irrigation as an option. Regular irrigation can help keep the bowel empty for 24 to 48 hours, which can significantly reduce or even eliminate the risk of output and leaks.

3. Alternative Undergarments
- Move away from standard underwear and opt for higher-waisted, looser garments. Long john bottoms, with the legs cut off if preferred, can sit above the stoma and avoid constricting the appliance.