Very common question at the beginning and I can only speak for myself. I had a stoma nurse come to my house a couple times and then she watched me do it myself. I change first thing in the morning before I drink anything and that has solved the flowing problem for me. Yes the tampon works and a cloth also works. Not drinking for a couple hours before hand also has worked for me. The stoma nurse is a big big help and she insisted I do this and taught me. I hope this helps. It takes time but the more I did it the easier it became My best to both of you. Lwsb