This topic is about finding safe ways to strengthen abdominal muscles for those with a stoma, while also preventing or limiting peristomal hernias. A peristomal hernia is a common concern for people with a stoma, and it can cause discomfort and complications. The person inquiring is looking for advice on exercises that can help without causing harm.

Here are some helpful insights and advice shared by others:

1. Many healthcare professionals, including physiotherapists and doctors, recommend avoiding conventional or strenuous abdominal exercises. These can potentially worsen or trigger peristomal hernias if not performed under expert guidance.

2. Gentle yoga or stretching classes, particularly those designed for older adults or those that focus on slow movements, can help maintain flexibility and support the core without putting too much strain on the abdomen. These might be a safer option than Pilates unless a professional gives the go-ahead.

3. Engaging or lightly tightening the stomach muscles during everyday activities, such as bending or turning, can help strengthen the core with minimal risk. Simple exercises like standing or seated abdominal clenches or holds are also suggested.

4. Wearing support belts during activities that increase intra-abdominal pressure, such as lifting, gardening, hiking, swimming in rough waters, or doing heavy housework, can help reduce the risk or progression of hernias.

5. A floor exercise that is sometimes recommended involves lying on your back and raising your feet a few inches off the ground. However, this can still be too demanding for some, and it's important to stop immediately if any discomfort or bulging occurs.

6. If a peristomal hernia becomes significant, lifestyle changes like avoiding heavy lifting or considering surgical options, such as intraperitoneal stainless-steel mesh reinforcement or relocating the stoma, might be necessary. At this stage, building new abdominal strength may not be feasible according to some doctors.