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Oct 23, 2024

Dealing with Pancaking in Colostomy Bags - Any Advice?

Managing pancaking in a colostomy bag can be a bit of a challenge. Pancaking happens when stool collects around the stoma instead of dropping to the bottom of the pouch. If you're dealing with this issue, here are some practical tips that might help:

1. Add liquid to reduce friction:
- Try squirting a small amount of tap water, preferably warm, into the pouch each time you empty it.
- Rinse once or twice until the output starts to slide down more easily.

2. Introduce and manage air in the pouch:
- With a two-piece system, briefly open the flange, pull the pouch outward to let air in, and then reseal it.
- After closing the outlet, puff a little air into the bag and push it up so it sits around the stoma, keeping the bottom mostly air-free.
- If the filter causes a vacuum, cover the filter vent with tape to slow down air escape.

3. Use lubricants:
- Consider using products like Hollister Deodorizer Lubricant or generic bag lube/deodorant. Home options like olive oil, coconut oil, or vegetable oil (about a teaspoon per bag) can also work.
- Spread the lubricant over the area directly above the stoma for the best glide.
- Mix a few drops of vegetable oil with commercial lube/deodorant to save on costs while maintaining odor control.

4. Manual manipulation:
- Occasionally roll or gently squeeze the pouch to push a forming pancake downward.
- Change to a fresh bag if the pancake becomes excessive.

5. Body position matters:
- Standing or lying down can help prevent pancaking, as sitting tends to fold the bag and shorten its length.

6. Hydration and diet:
- Aim to drink at least a gallon (about 4 liters) of fluids daily. More water and sweet drinks can help keep stool softer.
- Low-fiber days might increase pancaking, so monitor and adjust your fiber intake as needed.

7. Additional practical tips:
- Keep travel-size packets of lubricant or a small warm-water bottle handy for on-the-go rinses.
- Pancaking usually decreases as the pouch ages and the filter clogs, reducing the vacuum seal effect.

For more detailed information, you can check out the Ostomy Canada article on pancaking at their website.
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