Managing ostomy-related gas can be a bit of a challenge, especially when you're trying to figure out what works best for you. If you're dealing with persistent gas and pouch ballooning, you're not alone. Here are some tips and insights that might help you manage this situation more comfortably:

1. Over-the-counter remedies:
- Some people find relief using Gas-X (simethicone) right after meals, though results can vary. It might not be as effective for everyone, especially if you have an ileostomy.
- Beano or Ovol are other options, but again, effectiveness can differ from person to person. It might be worth trying different brands to see what works for you.

2. Venting and appliance solutions:
- Ensure your pouch filters are clear, as clogged filters can increase ballooning.
- Manually "burping" the pouch is a simple and reliable method for many.
- Consider attaching Osto-Ez-Vents to your pouch for quick gas release once you get the hang of it.
- You might want to try pouches with working vents or larger capacity, such as Hollister high-output transparent bags or Coloplast large opaque bags.
- Request free samples of vented or filtered pouches from manufacturers like Coloplast, Hollister, or Marlen to find what suits you best.

3. Dietary adjustments:
- Common gas-producing foods include beans, lentils, broccoli, cauliflower, cabbage, onions, garlic, pastries, chocolate, popcorn, carbonated drinks, chewing gum, drinking with straws, and smoking or chewing tobacco. Eating too fast can also contribute.
- Skipping meals or going long periods without eating can increase gas, so try to have small meals or snacks every 2–4 hours.
- Cranberry juice and yogurt, which contain probiotics, have been recommended for reducing gas. Some people find that yogurt helps.
- If you're reintroducing restricted foods, do it slowly—one new item at a time in small portions, and chew thoroughly. Keeping a food journal can help track reactions.
- Once you're healed, gradually increase fiber intake. Many people with ileostomies successfully eat high-fiber diets by chewing well and staying hydrated.

4. General tips:
- Everyone's tolerance is different, so it's important to "test and tune" to find your personal triggers.
- Stay well-hydrated, especially if you're increasing fiber intake.
- If you're worried about gas in public or at work, plan your meals, know where the bathrooms are, and carry an odor neutralizer.
- Blockages are rare in healed, non-scarred bowels, so introduce foods cautiously but don't avoid nutritious favorites indefinitely.
- Swallowed air can also cause gas, so try to eat slowly, avoid gum and straws, and don't skip meals.

Remember, managing gas is a personal journey, and what works for one person might not work for another. It's all about finding the right balance for you.