The topic at hand is about performing a parasite cleanse when you have a colostomy bag. This can be a bit tricky because there are concerns about how the cleanse might affect the stoma or the pouching system. Here are some helpful tips and insights to consider:

1. If you suspect that the worms are large or numerous enough to potentially block your stoma or pouch, it's crucial to consult with an ostomy-specialist nurse or physician before starting any cleanse. You might need more intensive medical treatment.

2. Many people with ostomies have not experienced visible worms exiting their stoma, which makes professional advice even more important in these situations.

3. While general resources like WebMD or the Mayo Clinic can provide information on parasite-cleansing regimens, they often don't cover issues specific to ostomies. Use these resources for general background information only.

4. Keep in mind that any detox protocol can also reduce beneficial gut bacteria. It's wise to discuss the use of probiotics or dietary support with your healthcare provider.

5. Some reassurance from others: a normal-sized stoma and pouch should be able to pass small organisms without clogging. However, a single large obstruction could block the stoma, which is another reason to seek medical advice first.

6. There are others with ileostomies who are also looking for safe cleansing methods, which highlights the need for guidance tailored specifically to those with ostomies.