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Feb 19, 2025

Seeking Advice on Thickening Output

This topic is about finding ways to manage watery output from an ostomy, especially when using Coloplast SenSura Mio bags, which can have issues with the pre-filter clogging. Here are some helpful insights and advice shared by others:

1. The poster was given 100 Convatec “Diamonds” Gelling & Odour Control Sachets each month, but this isn't enough for her needs. She uses about 8 sachets a day, which would only last for 12 to 13 days.

2. Using one sachet doesn't change the output, but two sachets thicken it to a "porridge" consistency and start working immediately. She considered cutting a sachet in half, although the instructions advise against it.

3. Her main goal is to thicken her very watery output so that the pre-filter in the Coloplast SenSura Mio large-output bags doesn't clog after just 4 hours.

4. She loves the SenSura Mio wafers because they never leak, but she can't switch to Convatec bags since they don't fit the Mio baseplate.

5. Buying extra Diamonds sachets is too expensive for her.

6. She wondered if ordinary "porridge oats" placed in the pouch could help thicken the output.

7. She feels unwell and discouraged because Coloplast hasn't responded to her complaints about the pre-filter design.

Additional information shared later:

- She tried finely-ground rolled oats (2 tablespoons per emptying) and was pleasantly surprised by how well they worked. The pre-filter now lasts a couple of days.

- She cannot eat solid food, as everything she consumes exits undigested.

- She produces a lot of gas, which her surgeon says is due to swallowing air, and her CPAP machine for sleep apnea makes it worse. Therefore, she needs a high-output, vented pouch.

- Coloplast does not make a high-output SenSura Mio bag without a filter, but she still prefers Mio wafers because they prevent leaks.

Advice and insights from others:

- Many users experience clogging with Coloplast SenSura Mio pre-filters, regardless of output consistency. Some recommend switching to filter-less bags if possible. Hollister and Convatec are noted for having more responsive customer service than Coloplast.

- Finely-ground rolled oats can effectively gel watery output. It's a good idea to experiment with the quantity to avoid making the output too thick or sticky.

- If oats aren't enough, consider trying inexpensive, highly-absorbent alternatives like non-clumping kitty litter, either whole or ground.

- Some people prefer liquid output because it empties faster. The choice of consistency is personal, so find what works best for you.
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