I have a very high output and I have to empty about 7-8 times each day in order to keep the solution from backing up and causing a leakage. I wash my pouch out after each emptying which helps with the pancaking. I take Metamucil 4 times per day and Lomotil and Imodium to try to keep it together but always have a lot of liquid. I always use a Barrier Ring and place Stoma Paste about 1/4" wide on the bottom half of the Ring which is helping with the leaks. Be sure that you have a little air and moisture in your pouch which will help with the pancaking. I also use a Hollister #7806 4" X 4" Barrier Ring which I cut to fit the pouch. I make it larger than the ones that are prepackaged. Mine are about 2 1/2" in diameter. I also cut my own hole in my pouch being sure that I have a snug fit. One of my main problems has been because my Stoma Nurse had me cutting my hole too large. Always use Stoma Scissors and be careful to cut your holes as round as possible. I use a piece of stainless steel pipe the same size as my Stoma hole and stretch my ring over the pipe, then insert the pipe in the pouch hole and slide the Barrier down the pipe and onto the pouch. This lines up the Barrier Ring with the pouch hole perfectly every time. If you need a pipe let me know what size and I will try to make and send you one. You might be able to purchase one on the internet. Be sure you preheat the Barrier Ring before applying to the pouch and your skin. I use a hair dryer to dry my skin and heat the ring and pouch. I always use Skin Barrier Spray also. Hope this helps.