This topic is about the experiences and concerns of someone from Québec who has been diagnosed with a parastomal hernia after having a colostomy. They are seeking advice on recovery, the impact of irrigation, and concerns about abdominal enlargement. Here are some insights and advice shared by others:

- **Post-operative recovery**: People have shared that it typically takes about 1 to 2 weeks to walk comfortably after hernia surgery, with a longer time needed for more strenuous activities. Returning to work can vary widely, from 3 to 8 weeks, depending on the nature of the job and individual healing. Resuming irrigation can happen around 4 to 6 weeks post-operation, but some wait until cleared by their surgeon, which can be up to 3 months. It's recommended to start with smaller water volumes when resuming.

- **Impact of irrigation on abdominal enlargement**: There are mixed experiences regarding whether irrigation causes abdominal enlargement. Some surgeons believe irrigation does not cause hernias and can usually be continued. However, others have found that a hernia can partially obstruct the process, making it difficult to achieve complete evacuation. If irrigation becomes painful or ineffective, consulting a stoma nurse about switching to a regular pouching system might be helpful.

- **Concerns about abdominal bulge**: A pronounced bulge on the stoma side is typical with a parastomal hernia. Weight fluctuations, loss of core muscle tone after surgeries, and hernia expansion are more common causes of abdominal enlargement than irrigation volume. Support garments or hernia belts might help manage the bulge during activities, but professional fitting is recommended for effectiveness.

- **Long-term management**: Large hernias can remain stable for many years, and surgery is not always necessary unless there is pain, obstruction, or lifestyle limitations. Regular exercise is encouraged, but heavy lifting should be avoided without proper abdominal support to prevent further herniation.

- **Experiences with stopping irrigation**: If stopping irrigation, it might be helpful to gradually reduce the frequency to ease the transition, as the bowel may take 36 to 48 hours to return to normal activity.

These insights are based on personal experiences and shared advice, and it's always best to consult with healthcare professionals for personalized guidance.