This topic is about dealing with a stoma prolapse after having an end ileostomy. The person who shared their experience is worried about the possibility of the prolapse happening again and is seeking non-surgical solutions. Here are some helpful insights and advice shared by others:

1. Immediate reduction techniques:
- Apply gentle hand pressure as soon as you notice the stoma starting to protrude. Many people find that it retracts quickly if caught early.
- Lie down and cover the prolapse with crushed ice or a cold pack. This can help reduce swelling and assist the bowel in sliding back in.
- Sprinkle ordinary table sugar on the exposed bowel while lying flat. This method, though a bit messy, is well-documented and can help the bowel retract.

2. Support garments and appliances:
- Consider wearing a hernia belt or similar abdominal support to reduce downward pull and provide support for the stoma.
- Use a two-piece pouching system with a clear viewing window. This allows you to see the stoma and act quickly if it starts to prolapse.

3. Activity modification:
- Keep your arms and tools close to your body when doing chores like sweeping, raking, or mopping to minimize strain on your core muscles.
- Avoid sudden straining or lifting, as increased intra-abdominal pressure can trigger a prolapse.

4. Professional help:
- Schedule an assessment with an ostomy nurse to identify any underlying causes and to get fitted for more supportive equipment if needed.
- If non-surgical measures are not effective, surgical options such as mesh reinforcement or stoma revision may be considered.

5. Reassurance and resources:
- Sometimes, a prolapse resolves on its own or does not recur, especially after certain conditions like pregnancy or once swelling subsides.
- Look for additional firsthand accounts and tips in the site’s archive under "Collections-Premium content-ostomy problems" for more support and information.