This topic is about dealing with "pancaking" issues in colostomy bags. Pancaking happens when the output stays at the top of the pouch instead of dropping down, which can cause the pouch to separate from the skin. This can be a frustrating and anxiety-inducing problem, especially when out in public. Here are some practical tips and insights to help manage this issue:

1. Lubricate the inside of the pouch:
- Use a cotton swab dipped in baby oil or vegetable oil to wipe the inside of the barrier or pouch. This can help the stool slide to the bottom more easily. While this is easier with two-piece systems, some people manage it with one-piece systems too.

2. Try different appliances:
- Consider using a Hollister Premier one-piece closed-end pouch with a SoftFlex barrier, as some users report no leaks and good skin tolerance for solid colostomy output.
- If using liners, be aware that they might loosen the seal on some systems. Test the wear time with and without liners to see what works best for you.

3. Maintain a secure seal:
- Using a belt can help keep the pouch secure, but if pancaking continues, the pouch might still pop off. Make sure the coupling or flange is completely clicked in.

4. Consider colorectal irrigation:
- Some people find that irrigating every 24–48 hours can eliminate pancaking, frequent pouch changes, and leakage. This is usually suitable for left-sided colostomies and is generally not affected by IBS. It's best to consult with an ostomy nurse trained in this technique.

5. Apparel tips:
- Wearing tight clothing can make pancaking worse. Opt for looser waistbands or ostomy wraps that allow the pouch to inflate slightly, reducing pressure on the stoma.