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Dec 14, 2018

Hybrid solution for irrigation and stoma output management

This topic is about a creative solution for managing gas after colostomy irrigation. The person who shared this idea has come up with a way to control embarrassing daytime gas by creating a hybrid system using a stoma plug and a pouch. Here's how it works and some additional tips and insights:

- The hybrid system involves trimming the adhesive circle of a commercial stoma plug so it still adheres to the skin, then placing a regular pouch over it. This setup allows gas to vent quietly while ensuring the pouch is secure to catch any unexpected output.

- The hybrid method effectively silences gas and maintains the security of the pouch.

- The person who shared this idea has a routine where they wake up an hour early to irrigate. They use either a pouch or plug as a backup and are flexible with their irrigation schedule, finding it much better than life before irrigation.

Here are some additional tips and insights from others:

1. Customizing plugs: Many people cut the plug flange to fit their stoma shape, similar to how they would customize any wafer. One person is trying out a new style of plug and plans to share their results.

2. Choosing an irrigation time:
- Select a time that suits your lifestyle; some prefer mornings, others evenings.
- While consistency is helpful, it's okay to be flexible. You can skip or adjust a session if you have other commitments or are feeling tired.

3. Sample routines and timing:
- A morning routine before a shower might take about 40–45 minutes, done every other day.
- An evening routine initially took up to 2 hours, but by standing while irrigating, emptying the sleeve as it fills, and multitasking, the time was reduced to 30–45 minutes, eliminating post-irrigation output.

4. Benefits mentioned include fewer daily pouch empties (from around 10 to just once), freedom from searching for toilets, and reduced odor and mess.

5. As an alternative between irrigations, using disposable liners inside the pouch allows for quick removal and flushing, keeping hands clean and minimizing odor.
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