A stool management and collection system for acutely and chronically ill patients that prevents channeling which can quickly lead to the breakdown of patient skin, patient discomfort, and the spread of disease. Although several preferred embodiments are disclosed herein, each has an absorbent insert ring component with a waterproof interior that alone or in combination with other structure directs stool into an associated stool collection bag. Super absorbent polymer (SAP) resin may also employed as a part of the stool containment system structure. In addition, the systems stool collection bag isnt positioned on the patients backside as in the prior art, instead being secured in approximately the same area where an incontinence pad is normally positioned, so that diarrhea is contained from start to finish.