This topic is about colostomy irrigation, a method that can help people with a colostomy manage their output more predictably. The person sharing their experience had been dealing with painful fecal impactions, which were only partially relieved by using MiraLax. However, after starting colostomy irrigation, they found relief from impactions and sometimes could use a small stoma cap instead of a pouch, feeling much more comfortable and free. They do note that irrigation isn't suitable for everyone. Here are some helpful insights and advice from others who have experience with colostomy irrigation:

1. Consistency and Perseverance: Many long-term users have found that irrigation can significantly reduce or even eliminate the need for bags and the unpredictability of spontaneous output. However, it requires dedication to establish a regular routine.

2. Dietary Awareness: To prevent unexpected output when using only a stoma cap, it's important to pay attention to how different foods and drinks affect the timing and consistency of your output. Adjusting your eating habits can help manage this.

3. Long-Term Success Stories: Some people have successfully used irrigation for many years, with reports of success for as long as 2.5 years to even 30 years, highlighting its potential sustainability when done correctly.

4. Educational Resources: There are instructional videos available, such as one from an Australian demonstrator on YouTube, which can be very helpful. Additionally, there is literature being developed, including a book with tips on irrigation, to help refine techniques and solve any issues that arise.