This topic is about understanding and managing parastomal and incisional hernias, especially for those who are new to having an ostomy. The idea is to create a space where people can share real-life photos of stomas, with or without hernias or skin issues, to help others recognize and understand these conditions better. Here are some helpful insights and advice on the topic:
1. **Understanding Hernias**
- Parastomal hernias often appear as a noticeable bulge or protrusion around the stoma. If you have one, it will likely be quite apparent.
- The pain associated with hernias can vary. Some people experience no pain, while others may feel discomfort, especially when engaging in activities like walking, lifting, coughing, or sneezing.
2. **Hernia Development and Repair**
- Hernias tend to grow larger over time, and the success rate of repairs is about 50/50, with a high chance of recurrence.
- Surgeons often wait to operate unless the hernia causes pain, issues with appliance adhesion, or other complications.
- Incisional hernias can develop along any abdominal scar due to the weakened muscle wall from surgery.
3. **Using Belts and Support Garments**
- It's highly recommended to wear a hernia belt during activities that strain the abdomen, such as exercise or manual labor. If you already have a hernia, wearing the belt whenever you're awake is advised.
- Companies like Nu-Hope offer a variety of belts, and custom options are available through hospital Orthotics Departments.
- Even a makeshift support, like a fanny pack, can help reduce pain if you forget your belt.
- For lighter support, consider using garments like "magic knickers" or Comfizz briefs, which provide gentle compression while allowing the stoma to drain properly.
4. **Preventive Measures**
- Many people recommend wearing a support belt as a preventive measure if you have a stoma and engage in activities that might strain your abdominal muscles.
5. **Alternative Surgical Resource**
- The Shouldice Clinic in Toronto is known for its expertise in hernia repairs, and some people consider it a top choice for treatment.
6. **Daily Living Tips**
- Large hernias can make clothing fit awkwardly, making it difficult to tuck in shirts.
- Keeping stool consistency looser can aid in drainage when wearing tighter support garments.
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