Pancaking can be a frustrating issue for many ostomy pouch users. It's when stool stays at the top of the pouch, rather than falling to the bottom. This can cause blockages and make the pouch stick to your stoma. Don't worry! There are effective ways to prevent this from happening. In this blog, you'll learn some practical tips to stop pancaking and make your daily life with an ostomy more comfortable.

Understanding Pancaking

Before solving the problem, it's important to understand what pancaking is and why it occurs. Pancaking happens when stool does not move down into the pouch and stays around the stoma, causing a 'pancake' effect. This can lead to a vacuum effect within the bag, making it harder for the stool to slide down naturally. Consequently, it increases the chance of blockages and the bag getting uncomfortably stuck to your stoma.

If you're experiencing pancaking, you're not alone. Many ostomy users face this issue due to various reasons, such as dietary habits or the type of appliance used. To address this, understanding the causes is the first step in managing the condition effectively. Factors like stool consistency, hydration levels, and even the design of your ostomy pouch play a significant role in pancaking. Becoming aware of these can help you take proactive measures.

Ensure Proper Hydration

Staying well-hydrated is essential for overall health, and it's particularly crucial if you're an ostomy pouch user. Dehydration can make the stool thicker and more difficult to pass through the stoma, which increases the likelihood of pancaking. Aim to drink at least eight glasses of water a day. Other hydration-rich options include herbal teas, clear soups, and fruit juices. Not only will staying hydrated help prevent pancaking, but it will also improve your overall well-being.

Use a Lubricating Deodorant

One effective way to combat pancaking is by using a lubricating deodorant specifically designed for ostomy pouches. These products help the stool slide down into the bag, preventing it from collecting at the top. Additionally, they offer the benefit of odor control, which is an added bonus for many users. Options like lubricating deodorants are available on the market, and you can consult with your healthcare provider to find the best product for your needs. Remember, using the right kind of lubricant can make a significant difference in your daily life.

For best results, apply the lubricating deodorant directly inside the pouch before attaching it to your stoma. This can help maintain a smoother path for stool to travel, reducing blockages and discomfort. Moreover, consistent use of these lubricants may help extend the wear time of your pouch by promoting better functionality and less strain on the appliance.

Check Your Diet

Diet plays a crucial role in the consistency of your stool and can directly impact pancaking. High-fiber foods, such as fruits, vegetables, and whole grains, can help keep your stool softer and more manageable. However, each person's body reacts differently, so it's important to monitor how specific foods affect you. Avoid foods known to make stool thicker, like cheese and processed foods, or consume them in moderation.

It's also beneficial to maintain a balanced diet that includes a variety of nutrients. Incorporating hydration-rich foods can contribute to your overall fluid intake, making it easier for the stool to pass through the stoma. If you're unsure of what to eat, consider consulting a dietitian who can offer personalized recommendations that cater to your specific needs and conditions.

Introduce Air into the Pouch

Introducing a small amount of air into your pouch can prevent a vacuum effect, a common cause of pancaking. Before attaching the pouch to your skin, gently pinch it to let in a little air. This simple step can help ensure that the stool slides down more easily. You can also use specially designed stoma bridges or air vent systems that allow the pouch to remain partially inflated, providing more space for stool to move freely.

Aside from manually introducing air, some people find it helpful to use items like rolled-up toilet paper or a small piece of gauze inside the pouch. These methods can create a slight separation within the bag, minimizing the vacuum effect and promoting better stool flow.

Frequent Emptying

Emptying your pouch regularly can significantly reduce the occurrence of pancaking. Don't wait until the pouch is entirely full; instead, develop a routine that suits your lifestyle. For many people, emptying the pouch every three to four hours works well. This frequent emptying can help prevent the buildup of stool at the top of the pouch, ensuring it moves down smoothly.

By establishing a consistent schedule, you can maintain a more manageable stool level in the pouch and lower the risk of blockages. Additionally, frequent emptying reduces the chance of leaks and the associated discomfort, offering a more comfortable and worry-free experience.

Experiment with Different Pouch Brands

Not all pouches are created equal, and you might find better results by experimenting with different brands or styles. Some pouches come with advanced features tailored to combat pancaking, such as built-in air vents or more flexible designs. Consider trying out a few options to see what works best for you. Revel Ostomy offers a range of innovative ostomy care products designed to improve daily life for people with ostomies.

Additionally, it might be helpful to consult with your healthcare provider for recommendations on pouch brands that address pancaking. They might have insights into the latest products on the market and can guide you toward a solution that suits your lifestyle and needs. Sometimes, a small change in the type of pouch you use can make a significant difference in preventing pancaking.