Topic Explanation
The forum discussion revolves around a person seeking advice for their ex-partner who has been struggling with a stoma bag filling up quickly at night and leaking. Despite following the stoma nurse's suggestions, such as changing diet and meal times, the issue persists, causing significant distress and exhaustion. The person is looking for solutions or insights from others who might have experienced similar problems.

Advice and Insights

1. Possible Causes and Solutions for Fast Filling and Leaking:
- Relaxation at Night: The body might be more relaxed at night, potentially causing increased output.
- Gas Issues: If the bag is ballooning with air, it could be due to gas. Gas pills might help.
- Type of Output: Determine if the output is liquid or pasty, as this can affect the type of bag needed.

2. Bag and Barrier Recommendations:
- High-Capacity Bags: Using a larger capacity bag at night can reduce the frequency of needing to empty it.
- Barrier Rings: Using a barrier ring can help prevent leaks. Brands like Hollister and Eakin rings are recommended.
- Proper Sealing: Ensure a good seal by warming the barrier ring with hands after application.

3. Dietary Adjustments:
- Thickening Foods: Foods like potatoes, peanut butter, marshmallows, bananas, and riced cauliflower can help thicken the output.
- Avoiding Certain Drinks: Caffeinated drinks, especially soda, can increase gas and liquid output.
- Smaller, Frequent Meals: Eating smaller meals more frequently and avoiding large amounts of liquids late in the evening can help manage output.

4. Medication:
- Loperamide (Imodium): Taking 2 mg of loperamide 2 to 3 hours before bedtime can slow down the output, allowing the small bowel to absorb more liquid.

5. Emotional and Mental Support:
- Support Groups: Joining ostomy support groups can provide emotional and mental support, as well as practical advice from others with similar experiences.

6. Product Recommendations:
- High Output Bags: Coloplast makes extra-large high output bags that might be suitable for nighttime use.
- Rehydration Mixtures: Drinking a homemade rehydration mixture (water, salt, sugar, and flavor packet) can help with hydration and nutrient