Topic Explanation:
The original poster is seeking advice for an alternative to Milk of Magnesia to prevent pancaking and leakage in her mother's ostomy appliance. Her mother experiences stomach pain from Milk of Magnesia and has hard stool due to Tramadol medication.

Advice and Insights:
1. Fruit juices like cherry, apple, or prune juice can help prevent blockages and keep stool flowing.
2. Small amounts of fiber, such as Honey Nut Cheerios, and Citracel can help regulate stool consistency.
3. Real apple cider from an apple orchard can be effective in maintaining stool consistency.
4. Metamucil is recommended for keeping stools at a decent consistency.
5. Drinking at least 6 glasses of water every day is essential for maintaining stool consistency and preventing blockages.