This topic is about someone dealing with severe gas pain despite having an active stoma, which means there's no blockage. Usual remedies like Gas-X, peppermint tea, and regular medications aren't helping, and the pain is so intense that they need strong prescription painkillers to sleep. They suspect that stress from holiday activities, like hosting family, might be making things worse and are looking for effective solutions from others who might have experienced similar issues.

Here are some suggestions and insights shared by others:

1. Diet & Enzyme Aids
- Try to identify and avoid foods that are known to cause gas. You can search for "foods to avoid with ostomy gas" for guidance.
- Consider taking Beano enzyme right before meals. Some people find that the liquid form of Beano works faster than the tablets.
- Eating gas-producing fruits and vegetables on an empty stomach might make gas worse for some people.

2. In-Pouch Deodorizer / Anti-Gas Drops
- Adding about eight drops of Hollister M9 Odor Eliminator each time you empty your pouch can help reduce gas buildup and odor.

3. Physical Activity
- Gentle activities like walking after meals can help move trapped gas through the bowel and out of the pouch.

4. Mechanical Release
- If gas is trapped behind the stoma opening, using stoma plugs from various brands can help vent the gas and relieve pressure.

5. Stress Management
- Stress can increase intestinal gas production, so using relaxation techniques and keeping a calm routine might help reduce symptoms.

6. Herbal/Comfort Measures
- While peppermint tea can ease cramping for some, results can vary from person to person.