This topic is about exploring the possibility of using a stoma plug instead of a pouch for those with a colostomy. The idea is to train the body to manage waste on a schedule by using a plug, but there are concerns about whether this method is reliable, especially with the risk of trapped gas dislodging the plug. Here are some insights and advice shared by others:

1. Concerns with Using a Plug Alone:
- The natural movement of the colon, known as peristalsis, is strong and can unpredictably push out both stool and the plug. Therefore, a pouch is still needed to catch any output.
- Colostomy irrigation involves flushing the colon with water, which can result in minimal output for 24 to 48 hours. A plug used after irrigation is more likely to stay in place because the bowel is empty.

2. Time Commitment for Irrigation:
- A typical irrigation session takes about an hour and is painless. Many find this time investment worthwhile for the freedom from bags and leakage concerns for up to two days.
- Some choose to irrigate daily for even more control over their output.

3. Personal Experiences with Plugs:
- One person noted that while gas or strong muscle movements can sometimes expel the plug, the bowel being empty means there's no mess.
- Another person successfully irrigates twice a week and uses a stoma plug between sessions, maintaining a regular schedule.

4. Surgical Alternatives:
- There are continence valves that function like an internal tap, but some are skeptical about their effectiveness, especially if the stool is dry and could block the device.

5. Dealing with a Parastomal Hernia or "Mound":
- One member shared their experience with a similar mound, which turned out to be a large hernia confirmed through exploratory surgery and repaired with mesh. Although healing was challenging, the hernia did not return.
- Planning surgery after major activities, like a racing season, can help with recovery and minimize disruption to personal schedules.