This topic is all about finding ways to prevent your ostomy pouch from pancaking or mushrooming, especially if you're on a budget. Pancaking happens when the output is too thick and sticks to the top of the pouch, while mushrooming is when the output pushes the pouch off. Here are some helpful tips and insights to manage this issue:

1. Consider colostomy irrigation if your remaining colon is healthy and your doctor approves. This method can help manage thick output and give you better control.

2. Pay attention to the consistency of your output:
- If you're using Loperamide, be cautious. Overuse can make your output too thick, which might cause the pouch to come off. Some people have found success by reducing their intake from four tablets a day to just occasional use, which helped eliminate leaks.

3. For in-pouch lubrication:
- Try adding a few drops of baby oil each time you empty your pouch. It can work just as well as commercial lubricants but is much cheaper.
- After emptying, blow a little air into the pouch to prevent a vacuum from forming, which can lead to pancaking.
- Some people sip a small amount of olive oil before meals, but it's best to consult with a healthcare professional before trying this.

4. Use mechanical aids:
- A stoma guard can help minimize external pressure from clothing like trousers or belts.
- Experiment with different barrier rings and flanges. For instance, switching to an Eakin Small Ring Seal (Slim version) helped one person stop leaks.

5. Consider the products and brands mentioned:
- Loperamide tablets for managing output consistency.
- Eakin Small Ring Seal (Slim) for better sealing.
- Generic stoma guards available from various suppliers to protect your stoma.

These tips can help you manage your ostomy pouch more effectively without breaking the bank.