Topic Explanation
The discussion focuses on preventing pancaking and pouch leaks for individuals with ostomies. Pancaking occurs when the output sticks to the top of the ostomy pouch, causing it to lift off the skin and potentially lead to leaks. The original poster has tried using lubricant in the pouch but still experiences issues and is seeking advice on whether adhesive sprays or switching to a different pouch might help.

Advice and Insights
1. Water and Rinsing: Add about 3/4 of a cup of water to the pouch, swish it around to dislodge the pancake, and then empty the pouch as usual.

2. Air in the Bag: Ensure there is enough air in the bag to prevent pancaking. If the bag has a filter, it might worsen the issue. Trapping some air in the bag can help the output drop to the bottom.

3. Manipulating Output: Regularly manipulate the output by pushing it away from the stoma with fingers over clothes to prevent buildup.

4. Use of Lubricants and Oils: Apply baby oil or coconut oil near the stoma opening to reduce sticking. Experiment with different lubricants if one doesn't work.

5. Filter Management: Consider using blue stickers over the filter or avoid using a filter if pancaking is frequent.

6. Rinsing and Lubrication: Rinse the bag with warm water and add lubricant to prevent sticking. This is particularly useful for thicker output.

7. Two-Piece Pouch System: Try using a two-piece pouch system, which can help with lifting issues related to pancaking.

8. Barrier Extender Strips: Use barrier extender strips around the wafer to provide additional security against leaks.

9. Frequent Emptying: Empty the pouch often and push the pancaking down into the bottom of the bag whenever noticed.

10. Diet Considerations: Be mindful of diet as certain foods can affect the consistency of the output, making pancaking more likely.