This topic is about finding ways to manage excess gas for someone with an ileostomy who is taking Neurontin (gabapentin) for back pain related to fibromyalgia. The medication helps with pain but causes significant gas, especially at night, which disrupts sleep and causes stress. Here are some suggestions and insights that might help:

1. Consider using vented pouches:
- Most manufacturers offer vented pouches, which have filters to help with gas. You can request samples from your current supplier or other companies.
- Use the vented pouch at night and try to sleep on your back to keep liquid away from the filter.

2. Try the Osto EZ Vent add-on:
- This is an adhesive vent that can be applied to any pouch. You can find more information and order it online.
- To keep it secure, place a strip of 3M “Transpore” plastic tape over the vent, making sure to punch a small hole in the tape’s center.

3. Make dietary adjustments:
- Temporarily cut out grains and most vegetables, and follow a low-fiber, high-protein diet.
- Eat several small meals instead of three large ones, and avoid gas-forming foods in the evening.
- Try not to alternate between drinking liquids and eating solids during meals to reduce swallowed air.

4. Use herbal remedies:
- Drink fennel tea, which can be found in natural-food stores. Try 2–3 cups daily, using two bags per cup for extra strength, as it has helped others with similar issues.

5. Experiment with positional and timing strategies:
- Lie on your usual sleeping side for about an hour before bedtime. If gas builds up quickly, empty or burp the pouch before going to sleep.
- Continue sleeping on your side if it helps reduce pressure on the pouch overnight.

6. General observation:
- While excess gas isn't a common side effect of Neurontin, individual reactions can vary. Factors like intestinal positioning and swallowing air might worsen the issue, so adjusting posture and eating habits, along with using pouch-vent solutions, could be beneficial.