This topic is about a person who has noticed that their stoma, which they have had since September 2021, has increased in size from 25 mm to 41 mm and now protrudes at least 1 inch. They also have gastroparesis, a condition diagnosed in 2013. The sudden change in their stoma's size and length is causing them concern, and they are looking for advice or similar experiences from others.

Here are some helpful insights and advice:

1. Changes in stoma size and shape can be normal. Stomas often change in diameter and length over time. If there is no pain and the output is normal, these changes might not be a cause for concern.

2. It is important to have a professional assessment. Consulting with a gastrointestinal (GI) surgeon or an ostomy nurse can help determine if there is a peristomal hernia, prolapse, or blockage, and provide peace of mind.

3. Be aware of warning signs. If the stoma enlarges rapidly and is accompanied by pain, blocked output, or discomfort, it could indicate a blockage, which requires urgent medical attention, such as a visit to the emergency room.

4. Consider the possibility of a stoma prolapse. Sometimes, stomas can elongate significantly as the intestine slides outward. This condition is often managed conservatively but should be diagnosed by a healthcare professional.

5. Try to focus on the stoma's function rather than its appearance. Adjusting to changes can be easier when you remember that as long as the stoma is functioning well, it is serving its purpose.