Topic Explanation:
The discussion is centered around finding effective methods to prevent pancaking in ostomy bags. Pancaking occurs when the output from the stoma does not drop to the bottom of the bag, causing it to stick to the stoma and potentially leading to leaks or adhesive failure. The original poster has tried various methods such as increasing fluid intake, using filter stickers, and lubricating the bag but is still experiencing issues.

Advice and Insights:

1. Lubrication:
- Use cooking spray or oil inside the bag to help the output slide to the bottom.
- Ensure the lubrication is spread throughout the bag to prevent sticking.

2. Air in the Bag:
- Trap a small amount of air in the bag to prevent it from sticking to the stoma.

3. Fluid Intake:
- Increase fluid intake to help with the consistency of the output.

4. Diet Adjustments:
- Consider dietary changes, such as reducing carb intake or increasing protein, to alter the consistency of the output.
- Monitor food intake to see how it affects output consistency.

5. Bag Maintenance:
- After emptying the bag, rinse it with water and swish it around to clean it before adding lubricant.
- Cover the filter to prevent it from clogging.

6. Product Suggestions:
- Use Hollister M9 odor eliminator and lubricator drops.
- Try the "Osto-EZ-Vent" device for better air management in the bag.

7. Adhesive and Skin Care:
- Use products like Dermabond or Mastisol for better adhesive performance.
- Consider using adhesive removers and wipes that help adhesive stick better.

8. Professional Advice:
- Consult with a stoma nurse for personalized advice and product recommendations.

9. Additional Tips:
- Use clear bags to monitor output and prevent leaks.
- Chew food thoroughly and maintain high water intake.