Managing gas build-up and odor with an ostomy can be a bit challenging, especially when you're out and about. If you're finding that your current appliances aren't quite doing the trick, here are some practical tips and product ideas that might help reduce both the pressure in your pouch and any unwanted smells.

- Anti-gas medication:
- Over-the-counter anti-gas tablets like Gas-X (simethicone) have helped some people reduce pouch inflation.
- A gastroenterologist might prescribe Levbid (hyoscyamine), which has been effective for some in minimizing gas issues.
- Many people find that controlling their diet is the most effective method, using medication only as a backup.

- Diet and eating habits:
- Foods that are high in gas, such as many raw vegetables, certain fruits, beer, soda, and sugar, can cause severe pouch inflation. Reducing or eliminating these foods can help.
- Eating smaller, more frequent meals can reduce gas, especially for colostomy users.
- Drinking a small amount of prune juice can speed up output and prevent gas build-up when things are moving slowly.
- Some have found that eating marshmallows can help reduce gas.
- Gas issues often decrease during the first 6 to 12 months after surgery as your digestive system adjusts.

- Filtered pouch systems:
- Pouches with built-in charcoal filters, like the Hollister 8081, can vent gas without odor when the filter is clear.
- Filters can clog when wet, so changing the pouch daily or every couple of days keeps the filter working well.
- Adding a narrow strip of tape over the filter fabric can prevent output from soaking the filter, extending its usability.
- If a filter isn't working well after a day, consider requesting free samples of other filter-bag models from your supplier to find one that suits you.
- Many prefer using a filtered pouch over having to "burp" unfiltered bags frequently.

- General appliance tips:
- A blocked filter can cause gas build-up, so make sure the vent area isn't covered by clothing or wafer material.
- Determine if your main issue is too little air (vacuum) or too much air (over-inflation) and adjust your filter use accordingly.
- Using a fresh Hollister 8081 each day improved night-time build-up for one person.

- Other considerations:
- Knowing your ostomy type (colostomy, ileostomy, urostomy) can help in finding the right solution. Ask your surgeon if colostomy irrigation might be an option, as regular irrigators report less gas.
- Installing a high-speed bathroom exhaust fan can provide extra odor control at home.

If you're interested in trying new products, you can contact Hollister or your current supplier for free samples of their latest filtered pouches.