Topic Explanation:
The discussion centers around finding solutions for pancaking in individuals with a colostomy, specifically those using a Hollister 2-part system. Pancaking occurs when stool does not drop into the bag properly, causing it to collect around the stoma and potentially leading to leaks or the need for frequent bag changes. The original poster has tried various methods, including using Coloplast convex products, but has not found a successful solution.

Advice and Insights:

1. Diet and Hydration:
- Monitor and adjust your diet, as starchy foods like bread, rice, and potatoes can contribute to pancaking.
- Drink plenty of water, around 2 liters a day, and include electrolytes in your hydration routine. Sugar-free or low-sugar sports drinks can be beneficial.

2. Bag Management:
- Introduce air into the bag to allow output to move more freely.
- Add a few drops of baby oil or use lubricants to reduce friction inside the bag, helping the stool to slide down.
- Consider using Hollister lubricant packets (#78501) to aid in preventing pancaking.

3. Clothing and Physical Adjustments:
- Avoid wearing tight clothing around the stoma area to prevent pressure on the bag.
- If necessary, discreetly adjust clothing to relieve pressure on the stoma.

4. Bag Cleaning and Maintenance:
- For 2-piece systems, remove the bag to clean away pancaking before it becomes problematic.
- Use water to rinse the bag and swish it around to clear pancaking.

5. Additional Tips:
- Keep a food diary to identify foods that may contribute to pancaking.
- Consider using probiotics to aid digestion.
- If using a closed-end bag, place a small weight like cotton balls in the bottom to help with output movement and cover the filter until air is present in the bag.

6. Product Suggestions:
- Hollister offers a lubricant packet (#78501) that can be added to the pouch to help with pancaking.
- Mylanta can be used to thin out the output if necessary.