This topic is about dealing with irrigation issues when a peristomal hernia is present. A peristomal hernia can complicate the process of irrigating a stoma, which is a method some people use to manage their colostomy. The person sharing their experience has been facing challenges with water not staying in the colon during irrigation, and they suspect the hernia might be the cause. Here are some helpful insights and advice for managing this situation:

1. A hard and tender peristomal hernia can block or change the shape of the colon's end, making it difficult to retain irrigation water. It's important to have the hernia checked by a doctor as soon as possible.

2. Consider reaching out to a certified ostomy nurse for advice. They might have experience with similar situations and can offer valuable guidance.

3. If you're using a sharp-tipped irrigation cone, switching to a blunted cone might help reduce pain, especially when a hernia is present.

4. In some cases, hernias can make irrigation no longer feasible. This is a possibility that both doctors and nurses have noted.

5. Before inserting the irrigation cone, gently use a gloved finger to feel for the new direction of the stoma. Hernia tissue can change its position, so angling the cone along this new path might help improve water flow.