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Dec 23, 2016

Colostomy bag ballooning - Seeking advice and solutions

Managing colostomy-bag ballooning is a common concern for many ostomates. Ballooning happens when gas accumulates in the pouch, causing it to inflate. Here are some helpful tips and insights to manage and prevent this issue:

1. Cause and Prevention
- Ballooning often occurs when the pouch’s filter gets blocked by waste.
- To keep the filter clean or protected, you can:
- Cover it with medical tape.
- Create a small barrier using glue.
- Place a layer of plastic wrap over the filter.
- Use disposable liners like Colomajic to keep waste off the filter, which can help extend its life.

2. Manual Venting ("Burping")
- If you have a two-piece appliance, such as a Hollister two-piece, you can discreetly release gas by briefly separating the coupling.
- For a one-piece pouch, you can step into a restroom to vent it while emptying.
- Many people find that ballooning and the need to burp occur mostly at night.

3. Pouch/Filter Options
- Some pouches, like those from Hollister, come with integrated carbon filters that allow gas to escape without odor. However, these filters can become ineffective once contaminated, leading many users to switch to non-filtered pouches and rely on manual venting.

4. Accessory and Clothing Considerations
- Wearing tight clothing, such as a bandeau, can press on the pouch, causing "mushrooming" and speeding up filter blockage. Adjust your clothing or filter protection as needed to prevent this.
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