Topic Explanation:
The discussion in the forum revolves around the challenges faced by individuals who use irrigation for managing their stoma, particularly when they have a stoma hernia. The original poster has been irrigating for three years but started experiencing difficulties after developing a stoma hernia the previous year.

Extracted Advice and Helpful Insights:
1. Temperature of Irrigation Water:
- Using very hot water, as opposed to lukewarm, can help facilitate the irrigation process, especially for those with a hernia.

2. Frequency and Timing of Irrigation:
- Some individuals find that they need to irrigate twice due to the presence of a hernia.
- It may be beneficial to irrigate daily instead of trying to extend the interval between irrigations, especially if complications like a hernia are present.

3. Volume and Flow of Irrigation Water:
- The initial 500 cc of water might be slow to enter, but it tends to flow more freely after overcoming the initial resistance. Using 1.5 liters of warm water is recommended by some users.

4. Consideration of Surgical Changes:
- Post-surgical changes, such as the narrowing of the stoma opening due to surgical mesh, can affect the output during irrigation. Consulting with a doctor for adjustments or solutions is advisable.

5. Use of Laxatives:
- Incorporating a laxative like Miralax twice a day can assist in managing output, although it may not directly solve irrigation issues caused by hernias or surgical changes.

6. General Encouragement and Shared Experiences:
- Sharing experiences and tips can provide moral support and practical advice. Engaging with others who have been irrigating for longer periods can offer new insights and encouragement.