This topic is about a person with a colostomy who has recently adopted the Paleo diet and is experiencing some challenges with their ostomy management. They are dealing with consistently soft output, which requires frequent changes of their ostomy appliance. They are considering trying irrigation again to manage this issue better. Here are some helpful tips and insights shared by others:

1. To thicken or regulate output:
- Taking psyllium (like Metamucil) daily can help firm up the output. One person with an ileostomy noticed a significant improvement.
- Adjusting your eating schedule might help. Try having a light breakfast, a main meal in the mid-afternoon, and a late-night snack to keep nighttime output minimal.

2. Managing food on the Paleo diet:
- Chew your food thoroughly and avoid eating large portions of cabbage-family or other raw vegetables in one sitting.
- Introduce new foods slowly. Start with easily digested meats like chicken, turkey, or bison, and gradually add other foods. Avoid or reduce gas-producing vegetables if they cause issues.
- Including some carbohydrates with your protein and fat can help smooth out the output.
- Small amounts of raw nuts and very dark chocolate are generally well-tolerated.

3. Appliance combinations that have helped others:
- Some have found success using a Hollister convex wafer with about one-third of a stoma strip ring for extra convexity, secured with a hernia belt worn all the time. This extended their wear time from 1-2 days to about 5 days.
- Another person found that changing their full system twice a week, on Mondays and Fridays, worked well for them.

4. Experiences and tips for irrigation (for colostomy):
- Daily morning irrigation, done twice, takes about 2 hours. The equipment used includes a convex Hollister appliance, an irrigation sleeve, a hernia support belt, and a handheld sprayer for cleaning the sleeve.
- Successful irrigation can allow the use of a small stoma cap for the rest of the day, with only occasional issues if there are diet changes or major gastrointestinal upsets.
- It's highly recommended to explore irrigation as a way to regain a sense of normalcy. Support from ostomy nurses and experienced irrigators can be very helpful.

5. Additional resources:
- Brenda Elsagher, an author and ostomate, has a colostomy and uses irrigation. Reaching out to her or reading her books might provide more detailed guidance.

Products mentioned include Hollister convex wafer and irrigation sleeve, Stoma Strip (ring), Metamucil (psyllium fiber), and a hernia support belt.