This topic is about exploring the use of an anal catheter instead of the standard irrigation cone for ostomy irrigation. The originator is seeking advice on how to safely and effectively use a catheter for this purpose. Here are some insights and advice shared by others:

1. Cone vs. Catheter – Safety
- Many people suggest that using a cone is safer and simpler.
- There is a risk with catheters because the colon has little sensation, which means an inexperienced user might accidentally damage the bowel wall.
- A cone helps reduce splash-back, while using a catheter requires creating a seal to prevent it.

2. Tips for Catheter Users
- If you are determined to try a catheter, avoid using standard anal catheters with inflatable balloons. Modify them by removing the balloon.
- Use a small rubber washer on the tube to act as a splash-guard.
- Insert about 9 inches (23 cm) to bypass a hernia and allow water to reach further into the colon.
- Use a 3-liter reservoir and a hand-pump to control the water flow.
- Only attempt this if you have prior experience with anal irrigation. Beginners should first master using the cone.

3. Diet and Output Consistency
- There is no universal list of foods to avoid; it's important to experiment and see what works for you.
- Keeping a food journal can help track what you eat and how it affects your output in terms of volume, consistency, and constipation.
- Some people can tolerate bread, pasta, nuts, and corn by chewing thoroughly, while others may limit raw fibrous vegetables like carrots or celery.
- Balance and trial-and-error are essential. Adjust your diet based on your experiences rather than eliminating entire food categories unless you notice consistent issues.

4. Alternative Management Approaches
- Some individuals with small stomas cannot use either a cone or catheter and instead rely on regular laxatives to manage bowel emptying, often overnight.
- Daily irrigation with a cone is effective for many, providing up to 24 hours of continence without needing additional appliances.

5. Support Resources
- A UK-based irrigator named John offers peer support, and his contact information is shared privately.
- Members are open to direct messages for further assistance and support.