The topic at hand is about managing a common issue faced by ostomy bag users known as "pancaking." This occurs when the output sticks to the top of the pouch, which can lead to leaks, especially when sitting for long periods, like in a car. A potential solution discussed is the use of Clearway Stoma Bridges from Opus Healthcare, which are small sponge blocks designed to keep the pouch open and allow the output to fall to the bottom. Here are some insights and advice shared by users:

1. After trying Clearway Stoma Bridges:
- The foam squares are placed on each side of the pouch opening, but positioning them correctly takes some practice.
- They help create a gap and reduce pancaking, but the effect is temporary as the foam can slip down.
- They are not flushable when emptying the pouch.
- They are more beneficial for nighttime use, especially if sleeping semi-upright, and can boost confidence during trips.
- One user successfully managed a multi-day trip without major leaks and is curious about others' experiences.

2. Product availability:
- Another user experiencing pancaking is interested in knowing if Clearway Stoma Bridges are available in the United States.

3. Belt/waistband adjustment:
- Pancaking while sitting in a car might be due to the belt sliding below the stoma. Adjusting the belt to sit above the stoma can often solve this issue.

4. Improving wear-time and reducing leakage:
- Using a Stomahesive wafer beneath the flange can strengthen the seal (ConvaTec Stomahesive).
- Changing the complete drainable pouch every 2–4 days is common; if the flange needs daily changes, the seal might need improvement.

5. Skin-prep and cleaning tips:
- Avoid using perfumed soaps; plain Ivory soap is recommended.
- Do not dry the skin with fragranced paper towels or toilet tissue, as fragrances and oils can weaken adhesion.
- Some users dry the peristomal skin with a small battery fan or a hair-dryer on a cool setting. One user uses Cavilon barrier film and a hand-held fan.

6. Lubrication to prevent pancaking:
- Adding a few drops of peppermint oil inside a new pouch and rubbing the sides together can help the output slide down and also deodorize.
- Ensure the oil does not touch the wafer to maintain adhesion and test for skin sensitivity.
- An alternative is using grapeseed carrier oil with a couple of mint Tic Tacs.
- A commercial product mentioned is Adept Lubricating Deodorant (Salts Healthcare).

7. Helpful accessory references:
- Clearway Stoma Bridges (Opus Healthcare Ltd.).
- Combihesive Convex insert (ConvaTec) for extra convexity.
- Hernia support belts for daytime wear.