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Sep 01, 2009

Tips for Reducing Stoma Noise in Public Settings

The topic at hand is about managing those unexpected and sometimes embarrassing noises that a stoma can make, especially during meetings or in other quiet public settings. If you find yourself in this situation, here are some friendly tips and insights that might help:

1. Colostomy/Ileostomy Irrigation
- Consider discussing with your stoma nurse or surgeon if colonic irrigation is suitable for you.
- There are complete irrigation kits available from companies like Hollister.
- Regular irrigation can lead to less gas, fewer unexpected noises, and more freedom in your diet and travel plans.

2. Dietary & Eating Habits
- Try to identify and avoid foods that trigger gas before social events. Common triggers include certain breads, pastries, vegetables, and fizzy drinks.
- Some people find that having porridge for breakfast or a plain sandwich for lunch helps keep things quieter.
- Be mindful of hot drinks, drinking during meals, gulping liquids, or going too long without eating, as these can increase gas.
- Consider using Beano (α-galactosidase) to help with gas from food, but check with your doctor first.

3. Marshmallows
- Eating a few plain marshmallows before an event or meal can help reduce gas and noise.
- Keep in mind they contain sugar and calories, so adjust your intake if you're watching your weight.

4. Probiotics & Gut Balance
- Taking a daily probiotic like Align can help some people by balancing gut bacteria and reducing gas.
- Drinking enough water also supports a healthy gut balance.

5. Activated Charcoal
- While charcoal powder or capsules can absorb gas and odor, they require high doses and can be messy, leaving a black residue and turning output black.

6. Peppermint Oil
- Try taking 10 drops of peppermint oil in about 2 oz (60 ml) of water, three times a day, to help calm bowel movements and reduce gas.

7. Mechanical Muffling & Quick Fixes
- Gently place a hand or forearm over your pouch/stoma when you feel a rumble starting.
- Carry loose coins in your pocket; the jingling can help mask brief noises.
- Consider using a product like the "Stoma Stifler," designed to suppress stoma noise.

8. Air-Swallowing Reduction
- Drink with your head slightly tilted down and your chin toward your chest, swallowing slowly to avoid swallowing extra air.
- Be aware of any unconscious air-swallowing while eating or talking.

9. Timing Strategies
- Some people skip solid food until midday if they have important morning engagements, opting for coffee or light liquids instead.
- Others choose to irrigate earlier than usual on days with scheduled events to ensure their bowel is empty.

10. Snacks & Treats that Seem Safe
- In the UK, Tunnocks Tea Cakes (milk-chocolate covered) are noted as a quiet, stoma-friendly snack.

These tips are shared by others who have been in similar situations and might help you feel more comfortable and confident in public settings.
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