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Oct 20, 2024

Seeking Recommendations for Reliable Ostomy Bags

This topic is about finding the right ostomy bags that don't clog the filter or cause ballooning, which can lead to discomfort and odor issues. If you're dealing with similar challenges, here are some helpful suggestions and insights:

1. Hollister Options:
- Consider the Hollister opaque Velcro-closure pouch with a filter and peek-a-boo window (#8962). Its longer length helps keep waste below the filter.
- Try the Hollister 2-piece system with a charcoal filter. Using a deodorizing lubricant can help the output slide down more easily.
- For those who prefer bags without filters, Hollister offers clear or opaque options. Pair these with an Osto EZ Vent for discreet manual gas release. Remember to apply the EZ Vent at least 24 hours before using the pouch.

2. Sensura Mio Tips:
- Users of the Convex Mio Click often find that wet output can ruin any brand’s filter. Covering the filter with the supplied sticker can prevent pancaking, though it might lead to ballooning. Controlling gas through diet or products like Beano can help.
- Coloplast offers a one-piece convex Mio without a filter. You can contact Coloplast for samples and the reference number.
- Adding a lubricant/deodorant inside the pouch and a barrier ring around the stoma can extend wear time to about 7 days.

3. Convatec Choices:
- The Natura 2-piece system with an Eakin cohesive seal is known for no leaks, with routine changes twice a week during low-flow times.
- Esteem Body and ActiveLife convex one-piece pouches have a smaller clip outlet. Some users switch to these to avoid Mio Velcro leakage.
- Some users alternate between Convatec Esteem and Mio, manually pushing output away from the filter when needed.

4. Filter Management & Gas Control:
- Filters from all brands tend to clog once wet. Many users tape over them and "burp" the pouch when gas builds up.
- Diet plays a significant role in ballooning. Experimenting with different foods or using gas-reducing tablets like Beano can be beneficial.

5. Anti-Pancaking / Night Techniques:
- Sleep on the side opposite the stoma and angle the pouch across your body so gravity directs output downward.
- Use a lubricating deodorant and get up briefly or manually push output down if necessary, but be cautious not to press on the stoma.
- Leave some air in the pouch by covering the filter to prevent the plastic from collapsing onto the stoma.

6. General Guidance:
- Everyone’s stoma and output are different. Request multiple free samples, but keep the selection manageable to avoid confusion.
- Learn to burp the pouch for quick gas release instead of relying solely on filters.
- For skin irritation, use stoma powder with a skin-prep wipe. Persistent redness may need professional assessment.
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