The topic at hand is about whether wearing an ostomy belt at night can provide extra security for those with an ostomy pouch. Here are some insights and advice shared by individuals with experience in this area:

- Many people wear an ostomy belt throughout the night, and often all day, as they believe it helps keep the pouch or wafer secure and significantly reduces the chance of leaks.
- Some individuals choose not to wear a belt due to discomfort, skin irritation, or because they have found a pouch that fits their body well without needing additional support.
- Nu-Hope ostomy belts are often mentioned for their comfort and support when worn continuously.
- Users of Hollister systems sometimes use the belt along with Hollister barrier extenders, which are tape strips, for added security. Some people use up to five extenders.
- One person shared that they use a skin-prep product called Tens Aces with Hollister’s 2-piece appliance before attaching the flange, and then add the belt for extra security.
- Switching to a pouch with tabs, regardless of the brand, allows for belt use and has helped some people eliminate night-time leaks that tape alone couldn't prevent.
- Practical tips for managing the belt include tightening it after lying down since the abdomen flattens and slack can develop, and loosening it again upon getting up. It's also important to note that sliding sideways in bed can stretch the belt, potentially causing a clip to detach.
- Alternatives and additional options include using anti-hernia vests, which can double as pajama tops and help keep the pouch close to the body, reducing the risk of leaks. Some people prefer to wear a wide support belt only during exercise if they find constant belt use uncomfortable.
- Other suggestions for preventing leaks include sleeping on the left side with pillows to accommodate gas build-up and using filtered pouches, although some have noted that Hollister filters can eventually seep output.
- One person shared their experience in a hospital where leaks persisted despite using a belt until nurses switched them to a Hollister pouch with a soft tape-style flange that better suited their abdominal contours, after which no belt was needed.