This topic is about someone who has a diverting colostomy, known as a Hartmann’s pouch, and is experiencing minimal bowel output. They are concerned about the possibility of needing to irrigate and are feeling isolated due to a lack of support. Here are some helpful insights and advice for anyone in a similar situation:

1. Medical Assessment First
- It's important to consult with an ostomy nurse or a colorectal surgeon to determine if irrigation is suitable for you. Not everyone is a candidate for this procedure.
- Irrigation is generally not recommended for those with inflammatory bowel diseases like Crohn’s or ulcerative colitis.

2. Irrigation is Elective, Not Mandatory
- Only about 2% of ostomates in the UK choose to irrigate, partly because the NHS provides free supplies, reducing the need. The rates are higher in places where people have to pay for their pouches.
- If you try irrigation and find it doesn’t work for you, you can stop at any time.

3. Potential Benefits
- Many people find that once they learn the technique, irrigation is not painful. Any discomfort is usually limited to the initial exploration.
- Irrigation can reduce or even eliminate the need to empty bags during the day. It might also allow you to use a small stoma cap for longer periods, offering more freedom and reducing supply costs.

4. Technique Support
- It’s a good idea to arrange for hands-on teaching with a stoma or ET nurse to learn the correct equipment and method.
- There is a recommended instructional video on YouTube titled “Colostomy Irrigation” by a presenter from New Zealand that might be helpful.

5. Hartmann’s Pouch Maintenance
- It’s suggested that the Hartmann’s pouch should be irrigated or “flushed” at least twice a year to prevent fecal buildup and the risk of rupture into the abdominal cavity.

6. Emotional and Peer Support
- If local support groups are unavailable, consider reaching out online. Forum members often offer one-to-one help and can provide valuable support and advice.