Topic Explanation
The discussion focuses on managing "pancaking" in colostomy bags, a common issue where the output sticks near the stoma instead of falling to the bottom of the bag. The original poster has tried various methods without success and is seeking advice from others with similar experiences.

Advice and Helpful Insights
1. Adding Air to the Bag:
- Introduce air into the bag to prevent vacuum sealing and encourage output to move downwards. This can be done by opening the flange and pulling on the bag to draw air in, then resealing it.

2. Use of Lubricants:
- Apply lubricants such as olive oil, coconut oil, or commercial ostomy lubricants inside the bag to help the contents slide down more easily.

3. Water Management:
- Rinse the bag with water when emptying it to help manage pancaking. Adding warm water to the bag before use can also be beneficial.

4. Dietary Adjustments:
- Increase fluid intake to keep the output softer and more manageable.
- Adjust food intake to include a mix of liquidifying and potentially clumping foods. For example, eat cereal with milk and sliced bananas or crackers with cheese and meat, along with a swig of water.

5. Bag Management Techniques:
- Manipulate the bag by rolling or squeezing to move the pancake downward.
- Consider the position of the body when emptying the bag; standing or lying down may help reduce pancaking compared to sitting.

6. Additional Tips:
- Some users find that pancaking occurs less with older bags as the filter becomes clogged, reducing the vacuum effect.
- Tape over the vents of the bag to slow air escape and add a puff of air into the bag before sealing it to keep it slightly inflated.
- Keep individual packets of lube/deodorant handy for on-the-go adjustments.

7. Resource for Further Information:
- Visit specific ostomy-related websites and forums for more detailed advice and shared experiences from other ostomy users.