If the ring is not working for you as far as the pancaking goes, I would try the fiber, depending on why you had the stoma – <a title="Crohn's Disease" href="https://www.healthproductsforyou.com/c-crohns-disease.html" target="_blank"><span style="font-weight: bold;">Crohn’s disease</span></a><span style="font-weight: bold;"> </span>or something where you can’t have a lot of fiber, the I would recommend you use the <span style="font-weight: bold;"><a title="Specialized Adult Nutrition" href="https://www.healthproductsforyou.com/c-speciality-nutrition.html" target="_blank">stool softener,</a></span> making stool looser, so that is not sticking at the top of your pouch. But if you have a colostomy &amp; you cannot have fiber, adding that fine fiber to bulk up the stool is hopefully going to make that problem go away.