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There is a vacuum in the bag (pancaking)

Pancaking is a kind of ‘vacuum’ where the inside of the pouch sticks to the stoma. This may lead to the output not dropping down into the pouch and building up on top of the stoma. Lubricating the inside of your pouch can help output to travel to the bottom of the pouch. See below for recommendations.

Recommendations

Brava® Lubricating Deodorant Brava® Lubricating Deodorant

Multi-lubricating effect

Odour from output or output gathering around the stoma is a challenge for many ostomates.

Specifically designed to be used inside the bag, Brava Lubricating Deodorant helps to mask odour when changing or emptying the stoma bag, whilst the lubricating effect makes it easier for output to go to the bottom of the bag.

This can help reduce pancaking of the stoma bag. The Brava Lubricating Deodorant is available in bottle or sachet form.

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IMPORTANT! If you have any concerns – such as skin problems or how to use new products – you should always consult your stoma care nurse.

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  • Trapping air inside the pouch can help. Before applying the pouch, apply a filter cover and once the release liner is removed, blow into the pouch to insert a pocket of air. Finally, apply the pouch. Placing a cotton-wool ball or scrunched-up tissue into the pouch can also work to trap the air. 
  • If you are using a one-piece closed pouch and the above doesn’t help, consider trying a two-piece appliance, or an open pouch, and de-vaccuum it through the coupling or open outlet on a regular basis, for example every time you pass urine.
  • Using braces or high-waisted trousers can also help reduce pressure.
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