This topic is about managing heavy morning output when starting colostomy irrigation. The person has had a colostomy since October 2018 and wants to begin morning irrigation because it aligns with their natural bowel rhythm. However, they face a challenge with continuous stool output for two hours or more after waking, which makes it difficult to start the irrigation process. They are seeking advice on whether to wait for the output to stop or proceed with irrigation despite the ongoing output.

Here are some helpful insights and advice:

1. You don't need to wait for the stoma to stop. You can attach the irrigation sleeve, clip it at the bottom, insert the cone, and start instilling water even if there is ongoing output.

2. Use the full standard volume of water, which is about 1.5 liters, and allow around 30 to 40 minutes for the initial flush and relaxation.

3. Staying calm and not rushing through the process can be beneficial. The irrigation water will help clear any remaining stool.

4. Using a two-piece appliance can make it easier to switch from the pouch to the irrigation sleeve between bursts, which helps minimize any mess.

5. Rest assured that inserting the cone and irrigating while output is occurring will not cause harm. You can confidently manage the process and be in control of your bowel.