Managing ostomy gas build-up can be a bit of a challenge, especially when it leads to a pouch that feels as tight as a drum. Here are some shared experiences and practical tips from fellow ostomates on how to handle this situation and keep things comfortable.

- **Burping the Pouch**:
- Before bed and during the day, open the tail outlet while holding the pouch upright to let the air escape.
- If you use a two-piece system, gently lift a corner between the wafer and pouch to vent the gas.
- Some people mount the pouch slightly sideways in a belt and lift the top edge of the wafer to release gas.

- **Choosing the Right Pouch**:
- Filters can help reduce ballooning, but they often clog within a couple of days.
- Some users find that Coloplast bags with filters can smell when clogged, while Convatec and Hollister bags have less odor.
- If filters cause issues, consider using vent-less pouches and manually burping them instead.

- **Products for Gas Reduction**:
- Gas-X (simethicone) can be helpful if you take multiple chewable tablets.
- Beano works for some but not for others.
- Activated charcoal tablets or capsules can reduce gas significantly, especially when used with meals. Be aware that they may cause black output.
- Absorbagel sachets can be placed in the pouch to thicken output and reduce gas.

- **Dietary Tips**:
- Foods like broccoli, cauliflower, beans, onions, and cabbage are common gas producers.
- Try eating these foods earlier in the day or in smaller quantities.
- Some people avoid wheat to prevent incidents with the pouch.
- Chew foods like corn well, and be cautious with brightly colored foods and drinks as they can tint the output.

- **Preventing Blow-Outs**:
- Empty the pouch before bed and remove as much air as possible.
- Change pouches every 1–2 days if using filtered ones to keep the vent working.
- Have an emergency plan: if you feel pressure building, vent or empty the pouch immediately.

- **Additional Tips**:
- Avoid wetting a clogged filter as moisture can release odors.
- In public, find a restroom or private spot to burp the pouch.
- Regular exercise and staying hydrated with water or electrolyte drinks can help maintain consistent output.

These insights and tips can help manage gas build-up and make living with an ostomy a bit easier.