This topic is about managing the odor that can occur when emptying an ostomy pouch and the challenges of getting enough deodorant covered by Medicare. The person sharing their experience finds the smell quite strong and is looking for effective ways to control it, as well as advice on how to persuade Medicare to cover more deodorant. Here are some helpful tips and insights shared by others:

1. Hydrogen Peroxide Method:
- Add ½ to 1 capful, or a quick squirt, of 3% hydrogen peroxide into the pouch after each emptying.
- Keep the pouch tail low to avoid soaking the stoma. Any initial foaming will disappear within minutes.
- Many people report no odor at the next emptying and have used this method long-term without issues.

2. Commercial Deodorants and Alternatives:
- Continue using M9 (Hollister) when available.
- Ecoz liquid deodorant and Diamond odor-absorbing sachets are mentioned as effective.
- Generic ostomy deodorant drops can help, but odor may build up if the pouch is worn too long.
- Chewable, over-the-counter internal deodorizer tablets, Tic Tacs placed in the pouch, or a few drops of mouthwash on toilet tissue can also reduce odor.

3. Pouch Management Practices:
- Rinse the pouch with water at each emptying to reduce residual odor.
- Change to a fresh disposable pouch daily, or more often, to avoid the smell that accumulates over time. Wafers left on too long can also start to smell.
- Ensure the filter remains clear, as a clogged filter can trap odor.

4. Environmental Aids:
- Use the bathroom exhaust fan during and after emptying.
- Keep a small air-freshener spray in each bathroom.
- When away from home, carry a micro-sized or pocket air-freshener. These tiny canisters are about the size of a lighter and fit easily into a purse or pocket.

5. Diet Awareness:
- Evaluate your diet, as certain foods can create stronger odors. Adjust your diet if feasible and observe any changes.

6. Monitoring Health:
- Be aware that unusual or chemical-like odors can indicate illness or bacterial changes. Note them as possible early warning signs.

The discussion did not include strategies for expanding Medicare coverage, focusing instead on techniques for controlling odor.