This topic is about managing a common issue faced by those with a permanent colostomy, known as "pancaking." This happens when stool sticks around the stoma instead of falling into the pouch, leading to frequent bag changes and increased costs. Here are some helpful tips and insights to address this issue:

1. Consider colostomy irrigation. Many people find that it almost completely eliminates pancaking, extends the wear-time of the flange and pouch (sometimes up to 6 days), and reduces the need to focus on ostomy care when out and about.

2. Understand that the issue of stool sticking around the stoma is commonly referred to as "pancaking."

3. Explore lubrication options for inside the pouch:
- Use regular cooking spray or any edible, food-safe lubricant.
- Try commercial lubricating deodorants specifically designed for ostomy pouches, which can both lubricate and control odor.

4. If you rinse the pouch with water, such as with a hospital-style douche bottle, be cautious as too much water can shorten the life of the wafer.

5. Consider using a pouch without a filter. This allows a small amount of air to remain, which can help prevent stool from flattening and sticking.

6. Never expose the stoma to any substance that would be unsafe to swallow. Avoid using household or industrial cleaners.

7. For custom irrigation sleeves, one suggestion is to create a sleeve with a detachable 90-degree waste-pipe bend. This can direct flow downward, prevent splash-back, and allow you to continue normal activities during the 1–2 hours until output stops.

8. Even if you use a two-piece drainable pouch, irrigation can significantly reduce the need for supplies and the risk of leakage. It's also a good idea to keep a small emergency kit handy for peace of mind.