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Jan 09, 2022

Coping with a Parastomal Hernia - Need Advice!

This topic is about finding ways to maintain an active lifestyle while managing a parastomal hernia. A parastomal hernia can occur when part of the intestine pushes through the abdominal wall near the stoma, often causing discomfort and a noticeable bulge. Here are some practical tips and insights to help you stay active without worsening the hernia:

1. Use layered support belts:
- Consider wearing a soft, full-abdominal hernia belt for overall support, along with a stiffer, wide belt directly over the stoma area to prevent further protrusion.
- While some people try standard weight-lifter belts, these can be too wide and uncomfortable. Purpose-made ostomy hernia belts, like the Nu-Form by Nu-Hope, generally offer a better fit.

2. Wear belts proactively:
- Put on your support belts before engaging in any lifting, pushing, or strenuous activities. Continue wearing them throughout the day, and consider using them at night if discomfort persists.
- Having several belts allows you to rotate them for comfort and washing.

3. Recognize activity limits:
- Activities like heavy lifting, pushing, or straining can significantly increase the risk of worsening a hernia. When possible, try to avoid or delegate these tasks, even if it means making some lifestyle adjustments.

4. Massage and lying flat:
- Gentle circular massage around the stoma and lying down after exertion can help ease a bulge back and reduce pain.

5. Accept calculated risks:
- Some people choose to continue lifting for work or family activities, understanding that repeated hernia surgeries might be necessary. The key is to balance quality of life with potential consequences.

6. Mental outlook:
- Focus on the positives, like being alive and functional despite restrictions. Adaptive tools, such as reliable belts, can make daily life and cherished activities more manageable, helping to combat feelings of depression.
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