How to Manage Ostomy Ballooning
Posted by Paige Wooding on Dec 16th 2025

How to Manage Ostomy Ballooning
Ostomy ballooning is a common concern for many people with ostomies. It refers to the excessive accumulation of gas in the ostomy pouch, causing it to expand and potentially become uncomfortable.
If you or a loved one have an ostomy, it is crucial to understand what ostomy ballooning is and how to manage it effectively.
Understanding Stoma Ballooning
A ballooning stoma occurs when gas accumulates in the pouch connected to the stoma, leading to its inflation or distension. This stoma ballooning can cause discomfort and inconvenience for the individual. Various factors contribute to ballooning stoma, such as gas release during digestion, consumption of foods like beans and cabbage, intake of carbonated drinks, swallowing air while eating or drinking, and certain bacteria present in the digestive tract.
Identifying the signs and symptoms of a ballooning stoma is crucial for proper management. Typical signs include a visibly inflated pouch, increased abdominal pressure or fullness, and alterations in the pouch's shape or appearance. In some instances, individuals may also face leakage or challenges in draining the pouch.
Preventing Ostomy Ballooning
Ostomy ballooning can be uncomfortable and inconvenient. However, several tips and techniques can help prevent this issue and promote a more comfortable experience.
- Proper stoma care and maintenance play a crucial role in preventing ostomy ballooning. Regularly clean the stoma and surrounding skin using mild soap and water. Gently pat the area dry with a soft towel to maintain the skin's integrity and prevent irritation.
- Using the right ostomy products can also make a significant difference in managing ballooning. Consider a pouching system with an integrated filter, which allows gas to escape while preventing odors from leaking. These filters help reduce the risk of ballooning and provide a more discreet and comfortable experience.
- Avoid foods and drinks that contribute to excessive gas production, such as carbonated beverages, beans, cabbage, and onions.
- Eat smaller, more frequent meals and chew food thoroughly as this can also aid digestion.
- Use an ostomy belt. These belts provide additional support and security to the ostomy pouch, reducing the risk of leakage and minimizing gas build-up. They are adjustable, comfortable to wear, and can be easily worn under clothing without causing discomfort.
Each person's needs may vary, so consult with your healthcare professional or ostomy nurse to determine the best solutions for you.
Dealing with Ostomy Ballooning
To alleviate discomfort, it is crucial to burp an ostomy bag by releasing the trapped gas. Understanding how to burp an ostomy bag effectively can ensure a proper ostomy bag gas release. When burping an ostomy bag, you hold the bag up, open the outlet, and gently press down to expel the air, which is a normal part of ostomy care.
Step By Step on How To Burp an Ostomy Bag:
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- Position: Lift the bottom of the bag towards you, ensuring the drain opening remains upright.
- Open: Unclip or unseal the outlet end of the pouch.
- Release: Carefully press down on the top of the bag to expel any trapped air through the opening.
- Secure: Firmly close the drain or reseal the pouch.
Burping an ostomy bag is a way of draining the bag without completely emptying it. For this method, you will open the drainable bag slightly, allowing only air to escape and no liquid or solids. If you plan on burping your bag in public settings, it is advisable to use a pouch deodorizer to avoid smell leaking out with the gas. Changing your disposable bag or emptying your re-usable bag will also help remove the gas in your ostomy pouch if timing and/or your stock of supplies permit.
After releasing the gas from your pouch, there may still be gas in your stomach that was waiting for room to evacuate. You should allow this build-up of gas to release before attaching your pouch back to your stoma.
One practical strategy to release this gas is to gently massage the abdomen around the stoma area to stimulate the gas release. Additionally, try changing body positions, such as lying down on your side or sitting up straight, as this can assist in releasing gas.
If this is a more persistent issue, you may find diet changes and exercise's such as yoga, can help relieve gas and it's symptoms as a more permanent solution. Always consult with your healthcare provider if ballooning is persistent.
If you're facing challenges with ostomy ballooning, know that support is just a click away. There are communities and resources ready to offer guidance and emotional support. By joining online forums and support groups, you can connect with others who truly understand your journey. At My Care Supplies, we provide a comprehensive selection of educational resources and articles to assist you in managing life with an ostomy. Whether you're searching for more ostomy supplies online or need ostomy accessories, you'll find everything you need at MyCareSupplies.com.
