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    Back to Ostomy Self-assessment Tools

    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 around 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

    Masking odour and lubricates the pouch

    The Brava® Lubricating Deodorant masks odour and ensures content is always at the bottom of the bag and not around your stoma. It also makes the bag easier to empty.

     
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    The Brava Lubricating Deodorant is used in the ostomy bag and comes in a 240ml bottle or an easy single-use sachet. The sachet is convenient to use when outside of your home or travelling.

    IMPORTANT! If you have any concerns – such as skin problems or how to use new products – you should always consult your Stomal Therapy Nurse.

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    Filter control to reduce pancaking

    Filter control

    Using the filter cover provided with your products can help minimise pancaking. Watch this video for more information.

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    Filter control

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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 let air in 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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