I can pass gas fine laying on my back, with some finagling. The problem is that the gas causes cramps no matter what AND I have to pass it all day long, every few minutes, or I suffer more debilitating cramps, which is uncomfortable. I hate that nothing has worked for you, but I'll be honest--I don't think the pouch is worth it if all I can eat is...(meat?) and I'm going to have constant cramps. And this is coming from someone who HATED the bag. Also, the fact that I have horrible urgency and feel terrible...might as well have a UC flare.