This topic is about colostomy plugs, which are devices used by some people with a colostomy to manage their stoma. The discussion focuses on where to find these plugs and how to use them effectively. Here are some helpful insights and advice shared by users:

1. Coloplast Conseal Plug
- The standard Conseal plug has a product number of 1445 with a 45 mm depth. There is also a smaller size, but some users find it slips out.
- Some users change the plug daily, especially if they irrigate nightly.
- Coloplast often provides free samples upon request.
- In the United States, these plugs might be hard to find because Coloplast let its FDA approval lapse due to low sales. Users might need to look for alternatives or consider importing them.

2. Performance and Comfort
- Plugs generally stay in place for long periods, but strong bowel movements can sometimes push them out. The wafer usually holds even if this happens.
- The plug is made of cylindrical foam attached to a wafer, similar to a tampon but with a wafer instead of a string.
- A charcoal filter inside the plug helps eliminate odor.
- Passing gas is silent, and there is no bulging, allowing for comfortable wear with tight belts or clothing.
- Some minor discomfort might occur if the plug is ejected due to bowel movements or if irrigation is rushed.

3. Practical Tips
- Ensure thorough irrigation and avoid rushing to prevent issues.
- If the initial size doesn’t stay in place, try the larger 45 mm depth plug.
- Homemade substitutes like foam or cotton-swab plugs have been tried but are not recommended due to safety risks.

4. Cautions and Side-Effects
- One user stopped using plugs after experiencing dizziness and abdominal inflammation from an obstruction, particularly with an ascending stoma.
- Be vigilant for any discomfort, signs of obstruction, or expulsion. If problems occur, stop using the plug and consult a healthcare professional.

5. General Observations
- Plugs can significantly reduce gas noise and odor, making life with an ostomy feel more discreet and manageable.
- Teaching more people about irrigation and plug use could enhance the quality of life for many with a colostomy.