This topic is about a person who is preparing for a permanent colostomy and is concerned about whether their typically large bowel movements will fit into an ostomy pouch. They are curious if the size and consistency of their output will change after the surgery.

Here are some helpful insights and advice:

1. After a colostomy, the stool is usually much softer, often described as "porridge-like," and it passes through a smaller stoma opening. This means large, formed pieces are generally not a concern.

2. There are different pouch options to accommodate various needs:
- Standard and "maxi" pouches are available for those with heavy output or larger appetites.
- "Mini" pouches can be handy for activities like swimming.

3. Many people with a colostomy find they need to empty their pouch 4-5 times a day and change the appliance completely in the morning and at night.

4. Diet and hydration can make a big difference:
- Eating smaller meals more frequently can help.
- Chewing food thoroughly and eating slowly is beneficial.
- Staying well-hydrated is important.
- Limiting foods and drinks that cause gas can help prevent the pouch from ballooning.

5. It's important to have professional support, so ensure you have an ostomy specialist nurse to assist you before and after the surgery.

6. To keep the pouch secure, especially for active individuals or those who move a lot in their sleep, using stretchy "strapping tape" around the wafer can help it stay adhered for several days.

7. From a pediatric perspective, a 9-year-old with an ileostomy experiences varying output consistency, from runny to lumpy, depending on their diet. High-energy foods like white bread with peanut butter and banana are effective, but a high intake can quickly fill the pouch, highlighting the need for frequent emptying and ensuring the pouch is well-secured.