Managing excess gas in an ostomy pouch can be a bit of a challenge, especially when it becomes bothersome. Here's a simple guide to help understand the situation and offer some practical advice.

First, it's important to know the type of ostomy involved, as dietary advice can differ for each type, whether it's an ileostomy, colostomy, or urostomy.

1. If the ostomy is an ileostomy, make sure to chew food thoroughly. Think of it as "chew, chew, then chew some more." This helps reduce the amount of air swallowed and aids digestion.

2. For dietary resources, the United Ostomy Associations of America website (www.UOAA.org) provides a list of foods known to increase gas. It's a helpful place to start.

3. Consider using products like BEANO tablets, which contain alpha-galactosidase, as they are often recommended to prevent gas. There are generic versions available, but their effectiveness can vary from person to person.

4. Pay attention to eating and speaking habits. Swallowing air while eating or talking quickly can contribute to gas buildup. Try to slow down during meals and conversations.

5. Be mindful of beverage choices. Reducing or eliminating carbonated drinks can make a big difference. Many people notice less gas when they cut out sodas and sparkling waters.

6. Test for possible food triggers. Dairy products can be a culprit, as lactose intolerance might develop or persist even years after surgery.

7. From the experience of long-term ileostomates, gas can still occur without a colon. The main causes are usually specific foods or swallowed air, rather than bacterial fermentation in the large intestine.

8. Remember, while BEANO helps some people, it might not work for everyone. It's important to experiment and find what works best for you.