Topic Explanation
The forum discussion revolves around dealing with stoma pancaking, particularly in the context of a retracted stoma. The original poster has been experiencing constant pancaking and has been advised by their doctor and stoma nurse to use a Benefiber supplement due to a low-fiber diet. They also consume a significant amount of whole milk, which the healthcare professionals advised against. The poster is seeking advice and experiences from others who have dealt with similar issues.

Advice and Insights

1. Stoma Revision:
- Several participants suggest considering a stoma revision to extend the stoma, as a retracted stoma can lead to complications. A stoma should ideally protrude about 3/4 of an inch to prevent pancaking.

2. Using Water in the Bag:
- Pouring about 3/4 cup of water into the bag and swishing it around can help loosen the stool and prevent pancaking. This method is recommended by multiple users, though some caution against getting water near the wafer to avoid it coming off.

3. Air in the Bag:
- Introducing air into the bag and pushing it up towards the stoma can create space for the output to move to the bottom of the bag, reducing the likelihood of pancaking. This method may require covering the filter if present.

4. Dietary Considerations:
- Increasing fiber intake, as recommended by healthcare professionals, can help manage output consistency. However, users note that adding fiber can lead to increased output volume.
- While some advise against excessive milk consumption, others suggest balancing it with adequate water intake to prevent dehydration and thick output.

5. Bag Maintenance:
- Regularly rinsing the bag with warm water can help manage pancaking, though care should be taken to avoid water contact with the wafer.
- Using a two-piece system allows for easier cleaning and maintenance of the stoma area.

6. General Tips:
- Lubricating the inside of the bag can help the output slide down more easily.
- Enjoying life and personal preferences, such as drinking milk, should be balanced with practical management strategies for stoma care.