This topic is about a person who has been using transparent Coloplast bags for their colostomy and is considering switching to opaque bags. They are concerned about visibility, fit, and minor stoma bleeding. Here are some helpful insights and advice for anyone in a similar situation:

- The person has been using Coloplast 1-piece convex transparent bags with a pre-cut 25 mm opening. After losing weight, their stoma diameter increased, making the 25 mm opening feel tight and causing some bleeding during changes. Unfortunately, Coloplast does not offer a 28 mm transparent pre-cut option.

- They ordered an opaque Coloplast bag in 28 mm but have concerns:
1. They worry about not being able to visually verify the placement of the Eakin ring if the pouch is opaque.
2. They believe the interior of the pouch will be harder to rinse and inspect.

- They noticed more blood than usual during a recent change and are seeking suggestions and reassurance.

Additional questions and information include:

- They are curious if others use Coloplast barrier strips and what brand of barrier ring is preferred.
- They have IBS, which sometimes requires up to two hours to empty completely. They always rinse after each emptying to keep the filter clear, and output resumes the next morning after coffee.
- They have obtained free samples of the Coloplast Sensura Mio bag in the size they need and plan to try it.

Advice and insights:

1. Fit & Cutting
- Leave about ⅛ inch (3 mm) clearance around the stoma. Colostomy output is usually thick enough that a very tight fit is unnecessary and can cause stinging or bleeding.
- Measure your stoma monthly, as size and shape can change over time.
- Ensure wafer edges are smooth and not touching the stoma to prevent bleeding.

2. Managing Bleeding & Irritation
- Minor bleeding is common due to the vascular nature of stomas; be gentle when cleaning.
- Persistent or heavy bleeding should be discussed with a stoma nurse. Major suppliers offer telephone support.
- Consider using stoma collars to protect from wafer edges.

3. Appliance Choices & Visibility
- The Coloplast Sensura Mio opaque pouch has an inspection window to see the stoma and confirm ring placement.
- Many pouches have peek-through slits, or you can cut your own viewing slit if needed.
- Hollister 2-piece systems are recommended for leak prevention with irregular stomas.

4. Barrier Rings & Accessories
- Some users apply the barrier ring directly to the skin. Brands like Eakin and Coloplast Brava are popular.

5. Bag Maintenance & Filters
- Frequent rinsing can clog filters, so expect filter failure after a few rinses or keep a spare bag handy.
- Use lubricants to keep output flowing or change to a new pouch if the interior looks messy.

6. Lifestyle & Routine Tips
- Coffee can stimulate colostomy output, so plan changes around predictable activity times.
- Avoid large amounts of difficult foods to reduce high-output or gas days.
- Choose a pouch style that suits your personal comfort, whether clear, opaque, with an inspection window, or with decorative covers.