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How to Burp an Ostomy Bag (w/ video)  

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VeganOstomy
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21/11/2017 11:00 am  
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Let's talk about "burping" an ostomy bag. Feel free to share any tips or experiences!

My full article on this topic can be found by clicking on the link below.

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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john68
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23/11/2017 8:32 am  

Hi Eric, Burping is a very useful tip/trick, I have experienced all of the above problems in doing it over the years. but so many times with a full pouch and no bathroom in sight it have given me the extra time/space to get to one.

ileostomy 31st August 1994 for Crohns


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VeganOstomy
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23/11/2017 9:11 am  

Glad it's helped you, John! Sometimes the risk of "burping" outweigh the risks of not being able to.

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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john68
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23/11/2017 9:39 am  

Meant to say, I find if my pouch is full of gas its holding back the rest of the gas I need to pass plus output. so it helps in many ways

ileostomy 31st August 1994 for Crohns


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Daryl FF84
 Daryl FF84
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26/11/2017 3:23 pm  

Like I mentioned to you before, I have been "burping" my pouch as I use a 2 piece system, with a filterless pouch as I intentionally put air in my pouch with an small air pump purchased at Canadian Tire. The benefit to this is I am now stress and anxiety free from not having to worry about pancaking. No more issues.
When I do have an excess of gas buildup, is when I burp.
Hollister is the best product out there due to quality. I have experimented with most of the products out there and Hollister has a soft plastic which makes it easy to do.
Convatec has a hard rigid plastic which when trying to burp, usually comes apart and is hard to put on. With that hard plastic I use soft soft as a lubricant.
I also smear a dab of soft soap to the inside of my pouch as to make sure stool slides down.
Ever since doing this I have not encountered any problems.
My Hollister 2 piece system with floating flange works extremely well with my Stealth Belt, as the belt fabric sits behind the flange, as opposed to a Convatec 2 piece system.
I wish Convatec would switch to a softer plastic and have a floating flange, but I guess copyright laws prevent that.
Again, very happy with my Hollister 2 piece product.


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Navey
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26/11/2017 7:25 pm  

I use the Sensura mio two piece click and always burp my bag from the bottom. I find it the safest way to ensure that the gas is expelled without any mess occurring.
I also use 1 ml of hydrogen peroxide in my pouch every time I empty it and rinse it. I have been doing this for months and find that there is hardly any odour on emptying.
I have usually a very liquid output as I only have my small bowel, but do notice that when I have fibre at a meal or snack that I have a tendency to pancake. I'm wondering if the pancaking is occurring Because my stoma sits almost flush with the protective ring and doesn't have enough length to it to push the output into the pouch.
Y


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Daryl FF84
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26/11/2017 8:08 pm  

Interesting,  I forgot to mention that I use a closed small pouch with no filter, which is why I can put air in, basically creating an air barrier between my protruding Stoma and the pouch liner. Hence no pancaking which in the past has caused my wafer to blow open. Everyone is different and through trial and error we come up with fixes that work for us. Merry Christmas..


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Navey
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26/11/2017 8:18 pm  

Thanks for your response, wish I could do the same. Merry Christmas to you and yours


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Margaret Brabrook
 Margaret Brabrook
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27/11/2017 7:25 am  

I wrote the article below for the December edition of Ostomy Australia magazine so could not mention brand names. I was using the two piece Dansac convex with a wonderful accordion/FF but since a recent op my stoma shape has changed and I can now wear the new flat two piece Eakin Dot – which I give a four and a half out of five!

No more floating --- !
I have an ileostomy and had been searching for a solution to my ballooning problem for many frustrating months. Leaks or the threat of one in the middle of the night had been so distressing. I’d tried every brand of pouch available here in Australia and none of the inbuilt filters had worked for me, even though they claim to ‘minimize’ ballooning!’ My main ballooning problem was at night, in bed ---- it’d usually be two or three am when I’d wake to find my pouch about to burst or horror of horrors, leaking! So off I’d trot to the toilet to release the air from the opening end but on returning to bed I was often so wide awake that I could not go back to sleep. And of course as we all know, lack of sleep does not make for a good day the next day.
Finally, wonderful indescribable relief! I found the answer on Facebook with a suggestion from someone in the Australian and New Zealand Ostomy Support Group. They said ‘try a floating flange.’
Never having heard of a FF I rang around the stoma product supply companies but some of them did not understand what I was taking about. Then one company said “Ah, an accordion flange.” They sent me samples and then I understood what a FF is! More phone calls and I found a few other stoma supply companies who also sent me samples. And that’s when the magic happened!
A floating flange is the specially designed base plate of a two piece stoma pouch system. It allows fingers to be placed under the flange to help minimize pressure on the abdomen when attaching a pouch and is especially helpful for arthritic fingers like mine. I’d tried the two piece system before but was unable to manage the connection between the base plate and the top pouch as I was also pressing down on soft and pliant tummy tissue.
I think the word accordion better describes the shape and function of this base plate. Also, floating flange is a name used by one company to describe all their base plates, which is a confusing interpretation.
The top part, the specially designed pouch, has a small tab for a hernia belt each side of the underside opening and also another tab near the top which is used for lifting and reattaching it to the FF/accordion base plate.
Now, if I wake and find myself about to float to the ceiling (and having taken the precaution of no food or drink after seven pm) I just reach down, eyes still closed, feel around for that little tab, gently and very carefully pull it open a smidgen, release the air and then close it. It closes with an audible snap which is very comforting. It’s taken some getting used to and the trial of several brands of pouches and FF/accordion bases but these past few weeks I’ve managed six or seven hours of sleep each night ---- magic indeed!


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Navey
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27/11/2017 8:25 am  

Thanks Emby 36 for the info on a floating flange. I will check our suppliers out here in Ontario, Canada.

Merry Christmas to you and yours.


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Daryl FF84
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27/11/2017 9:37 am  

Happy to hear that a solution was found. Yes a FF/accordian Flange helps a lot as you don't have to press hard against your Stoma area to attach a pouch, especially if you just had surgery.. Cheers from Canada


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VeganOstomy
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27/11/2017 9:46 am  

The floating flange is another reason why the Hollister systems seem to work better - they come with one built-in :)

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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VeganOstomy
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27/11/2017 9:48 am  

I like the soft soap idea as a lubricant and I'm glad that's been working!

Convatec is very difficult to snap together, let alone burp! It's one of the most difficult in my opinion, so I'd advise that nobody attempt it on that system.

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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Margaret Brabrook
 Margaret Brabrook
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27/11/2017 3:46 pm  

I tried the Hollister with a two piece accordian flange but in Australia their bag product range is very small and the that one is far too long for my body, also their flange is too narrow for me to get my fingers under to push. I think but not sure, that it was Hoiiister that told me that all their bags are floating flange! As i said previously -- very confusing. BTW- with many surplus one piece bags I found a charity that will send them to Ethiopia.


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Emby36
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27/11/2017 3:55 pm  

Thank you - I didn't see this little reply button till later - woops!


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Sleepy
 Sleepy
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30/11/2017 6:37 pm  

Hi ,great comments , I am four weeks new to my stoma. (I called him James after my youngest brother) ..
I am just learning about burping and yes at night it is a panic a bit ! I have been just emptying the bag as I knew of no other safe way.
Maybe an odd question,but why is the smell so different from before,(chronic ulcerative colitis all of my colon was removed after no response to Iv steriods) I mean it offends me ! I would think others would run in terror! , as I say I am still learning but ,I definitely would not burp a bag in a place where it could be traced back to me 😉 again in time things have been getting easyer . I went from flex sig to bag in 7 days. Vancouver Canada


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Navey
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30/11/2017 8:38 pm  

Hi Sleepy:

Welcome to the group. I agree with you on the smell it is totally different from when it is expelled through the normal bowel. My trick to eliminate the odour is twofold, when I empty my pouch I always rinse it with water, before I close the pouch I put 1 ml (or one bottle cap) of hydrogen peroxide in my pouch and then close it up. It does a terrific job on neutralizing the door. It is very inexpensive if you purchase it at Walmart or your local dollar store. Hope this helps. BTW I live in Ontario, Canada.


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VeganOstomy
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03/12/2017 11:56 am  

Hi Sleepy,

Yes, the smell is different when you don't have a colon. I noticed that bile, which looks dark green, is the most offensive as far as output smells are concerned. Odors will change as your body gets used to your new setup, and depending on what you eat, you may notice that your output smells a little like the food you've eaten.

Using a pouch deodorant can help, but you may have to experiment to find one that works for you. More info here: https://www.veganostomy.ca/ostomy-odor-tips/

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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Karah Marie
 Karah Marie
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04/03/2018 1:06 am  

Thabks for making a video on this! One of my nurses in the hospital showed me how to burb it from the drain end but I had not thought about the way to do it with a two piece.

I have had those mishaps - mainly when I’ve been too tired to get out of bed and oops! That wasn’t just air in there...Had to get up anyway then...

Also, if you hear a “pop!” Sound after attempting to burp your bag’s drain end and happen to not move it correctly in that direction, you might want to immediately run some warm water through the appliance to see if you blew a seal...yup...live and learn. I’m MUCH more careful now ;-)


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Linda Knelsen
 Linda Knelsen
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20/07/2018 2:57 pm  

Eric...before the EZ vent I had a fair deal of ballooning. I just read a reply you made to someone about the beans and the issues they cause. I am going to try and find the Bean-Zyme for when I would like to eat some of the foods I have been avoiding due to gas production. Before the vent, If I had a ballooned bag, I would lay down and point the mouth of the bag" up" in order to burg it. If I had to change the bag over and it was full which can happen very suddenly sometimes, I will lay down before the change to burp the bag. Your videos are so very helpful and so full of information. Thank you...Linda


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