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Aug 16, 2010

Show and Tell Forum: Share Your Medical Photos and Stories

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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