This topic is about someone who has been using colostomy irrigation for about four weeks and is wondering if it's normal to still have daytime output and need to change their pouch or cap. Here are some helpful insights and advice from others who have experienced similar situations:

1. Adjustment period
- It can take more than four weeks for your bowel to adjust to the irrigation process. Many people find it takes two to three months for things to settle down.
- It's not unusual to have occasional small amounts of firm output, often referred to as "pellets," while your routine is still stabilizing.

2. Expected results
- Once your irrigation routine is well-established, you should typically have 24 hours without further stool, or at least until your next irrigation session.
- Most people who irrigate eventually stop using a pouch altogether and switch to using just a stoma cap or plug.

3. Technique tips
- Make sure to use the full volume of water, around 1.5 liters, and let it sit for a couple of minutes.
- Allow at least 30 minutes after irrigation for your bowel to empty completely.
- Some find that irrigating in the evening leads to more predictable dryness during the day.

4. Equipment recommendations
- Electric or mechanical pumps are often seen as more effective than gravity bags.
- The B. Braun "Irripump" or "IryPump" electric irrigation pump is highly recommended for its consistent flow and better results. It's available on NHS prescription in the UK, though some GPs may not be aware of it. You can contact B. Braun for help with a 30-day trial or NHS paperwork.
- For those needing a larger water capacity or a travel-friendly option, some have created DIY pumps using hand-pumped garden sprayers, plastic cereal containers with a portable battery-powered shower, or adapting Coloplast irrigation set parts with an anal catheter.

5. Managing "breakthroughs" (unexpected output hours later)
- Keeping a diary of your food intake and output can help identify any triggers.
- Switching from a gravity system to an electric pump has helped many reduce or eliminate these unexpected outputs.