The topic is about finding the right ostomy flange and pouch setup to prevent "pancaking," which is when the output sticks around the stoma opening instead of moving down to the bottom of the pouch. This can be a common issue for those new to ostomy care, and the person seeking advice hasn't yet met with a stoma nurse. They are looking for products or techniques to help keep the output moving smoothly.

Here are some helpful tips and insights:

1. If using Hollister products and experiencing pancaking, try manually pushing the output further down the pouch. You can also line the pouch with an inexpensive dog-waste bag, wrapping the excess around the ring to avoid contact with the skin. This can be a cost-effective alternative to specialty liners.

2. Staying well-hydrated by drinking more water can help thin the stool, which may reduce pancaking.

3. Consider using a venting accessory like the EZ Vent, which allows air into the pouch. This airflow can help the output slide down more easily. Samples are available from the manufacturer.

4. Trying a different system might help:
- Some users have found success with the Coloplast Sensura convex flange, which has been described as a "phenomenal" improvement.
- The Coloplast Sensura Mio 2-piece system with light convexity and closed pouches with integrated filters has also been reported to work well. Coloplast offers an online quiz to help select products and will send samples upon request.
- Convatec offers samples of their products if you call them and provide details of your current setup.

5. It's a good idea to keep experimenting with different brands and levels of convexity, such as Hollister, Coloplast, and Convatec, until you find the combination that works best for your stoma and output consistency.