This topic is about a person who has been living with an ostomy for nearly two years and has noticed that their stoma has gradually enlarged. Initially, it was a small, recessed slit, but now it has grown into a slightly oval shape. They are currently using a Hollister soft convex barrier, which they cut to fit the stoma. They are considering whether to continue with their current barrier size or switch to a larger one.

Here are some helpful insights and advice:

1. It's common for a stoma to enlarge gradually, sometimes continuing to grow for 4 to 5 years before stabilizing.

2. An oval-shaped stoma often indicates that the intestine is leaning, which is not unusual. This may require cutting the barrier to the very edge on two sides to fit properly.

3. If you are achieving a secure seal with no leaks and a wear time of 5 to 7 days, it is generally acceptable to continue using the current 1½-inch Hollister soft convex barrier. Many people in similar situations do the same.

4. Consider reaching out to Hollister's customer support. They have ostomy nurses and product specialists who can provide advice on sizing and may suggest alternative barriers, larger pre-cut options, or accessory products.

5. Companies like Hollister and Coloplast value direct feedback from users. Consulting them can lead to personalized solutions and potential product improvements.

6. If you decide to change the barrier size, ensure that the wafer opening is only slightly larger than the stoma to protect the skin around it.