This topic is about finding solutions for individuals who need larger colostomy bags due to high output and have limited dexterity, such as those with quadriplegia and IBS. The person in question has been dealing with the challenge of standard pouches being too small, leading to a creative but leaky workaround. Here are some helpful suggestions and insights:

1. Consider using irrigation sleeves as an alternative to oversized pouches.
- Brands like Coloplast and Hollister offer irrigation sleeves, and they often provide free samples if you ask.

2. For folding and closing the sleeves:
- Once the sleeve is filled, fold it upward twice so the open end meets the bottom of the sleeve. Then, fold both the end and middle over the rigid top edge.
- Use three large binder-type paper clips or clips from suspenders to secure the folded end and prevent leaks during high output.

3. Maintenance is straightforward:
- Irrigation sleeves can be emptied directly into the toilet. Their length allows for easy rinsing from the tap without making a mess.
- These sleeves can be reused for weeks or even months. Soaking them in a diluted bleach solution can extend their lifespan, although frequent replacements might make this unnecessary.

4. To save on costs:
- You can attach sleeves to homemade baseplates, with some users reporting that a single sleeve can last for months.
- Before making a purchase, request multiple free samples to ensure they meet your needs and to minimize initial expenses.