Question: Is it normal for a colostomy stoma to prolapse and change size throughout the day?

Answer: Based on the forum discussions, it is not uncommon for a stoma to experience fluctuations in size throughout the day. Many ostomy users report that their stomas may extend when upright or active and retract when lying down or relaxed. This behavior can be considered normal as long as the stoma retracts on its own, maintains normal color and blood flow, and does not impair output or gas passage.

However, there are certain warning signs that require urgent medical attention, such as sudden severe prolapse accompanied by pain, halted output, or a change in color. If the prolapse is large or persistent, surgical revision is an option, though it carries a risk of recurrence. Some individuals choose to monitor the condition rather than undergo further surgery.

If you are experiencing leaks or other issues due to the prolapse, it may be helpful to discuss pouching adjustments with a stoma nurse. Additionally, wearing a support belt during the day can help manage the prolapse and provide stability.

If you have concerns about your stoma's behavior, it is advisable to consult with a healthcare professional, such as a stoma nurse or surgeon, to ensure proper management and care.

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