Managing frequent colostomy output after adding fiber can be a bit of a balancing act. The person in this situation started taking fiber supplements to help with watery and leaking output from their colostomy. While the consistency of the stool has improved, they now experience a normal bowel movement after every meal, leading to the need to change their pouch 2–3 times a day. Here are some helpful tips and insights to manage this situation:

1. Understand the difference between managing an ileostomy and a colostomy. With a colostomy, you can often regulate the output more easily. It's usually not necessary to change the entire pouch every time it fills if you use a drainable system.

2. Consider using a drainable (spout-style) one-piece or two-piece pouch. This allows you to empty the contents into the toilet instead of replacing the whole appliance. This can reduce the need to change the pouch to about once a week, although you may need to empty it several times a day.

3. Think about trying colostomy irrigation. This method can help you schedule and control bowel evacuation at a convenient time each day.

4. Be cautious with very firm stool that can result from high fiber intake. It can create enough pressure to dislodge the wafer or pouch. Adjusting your fiber intake to keep the output softer may help maintain a secure seal.

5. If gas inflates the pouch, you can "burp" a two-piece system at the flange or briefly open the spout on a drainable pouch to release the air.