This topic is about someone who is adjusting their ostomy care routine after colostomy surgery. They initially switched to a mild-convex skin barrier due to a recessed stoma but are now considering going back to a flat skin barrier as the stoma has improved. They are concerned about potential leaks, especially since they are dealing with loose stools and are trying to resume normal activities and eating habits. Here are some helpful insights and advice shared by others:

1. Experimentation
- Trying different products and foods is essential to find what works best. Keep your healthcare providers informed about any changes or experiments.

2. Activity and Support Garments
- Gradually increase your activity level; daily walking is beneficial.
- Consider using a continuous hernia belt to prevent a parastomal hernia during increased activity.

3. Irrigation for Colostomies
- If approved by your doctor, irrigation can help manage stool output, reduce pouch wear time, and boost confidence for work and travel.
- After successful irrigation, some people use small pouches or stoma plugs with filters to manage gas and odor. Plugs may require a prescription, so check with suppliers or Coloplast.

4. Appliance Options
- Convatec moldable convex wafers can create a good seal for a flush or recessed stoma.
- Returning to a flat wafer is possible if the stoma protrudes well and the seal is secure. Continue testing in real-life situations like exercise and coffee consumption.

5. Managing Loose Output
- Over-the-counter Imodium and prescription Lomotil can be used (with medical guidance) to slow bowel movements.
- Soluble-fiber products like Metamucil can thicken stool and improve nutrient absorption. Probiotics might help restore gut health after chemo or antibiotics; consult your care team.

6. Nutrition and Hydration
- Drink at least 2 liters of water daily and adjust your diet slowly, starting with low-fiber, IBS-friendly foods.
- Monitor vitamin levels, especially B6 and B12, for neuropathy prevention post-chemo, but only with physician approval.
- Consider lactose-free dairy or eliminating dairy to reduce loose output.

7. Psychological and Practical Support
- Recovery after surgery and chemo can be slow. Compare your current progress to previous weeks or months to see improvements.
- Stay connected with ostomy nurses, nutritionists, and peer forums for support and updated product information.