This topic is about finding the right stoma support garments for long-distance hiking, especially for someone with an ileostomy who experiences a "heavy" feeling in the abdomen after walking for about an hour. The person is looking for advice on whether a stoma support garment could help and how to keep their abdominal muscles strong to prevent a future hernia.

Here are some helpful insights and advice:

1. Light-support wraps can help keep the pouch stable and wick away moisture, though they offer limited muscle support. It's important to first check for diastasis recti.

2. The CUI International "Funcionel Easy Wear Belt" is a customizable option that can be secured with Velcro, with or without a pouch hole. More information can be found at www.cuiwear.com.

3. Tight, high-waisted leggings, including jegging or jean styles, can provide comfortable everyday support and help conceal the bag.

4. The Coloplast Brava Ostomy Support Garment/Belt is a binder-style option that comes with a template to cut a stoma opening. It offers benefits similar to a standard abdominal binder used in hospitals.

5. Any well-fitted binder that is approved by a clinician can help relieve the heavy sensation and may assist in preventing future hernia development.

6. Strengthening core and abdominal muscles, within medical guidance, can reduce the risk of hernias. Weak muscles combined with the existing stoma opening can make hernias more likely.

7. Appliance belts that clip to the pouch "lugs" can add security, though availability is limited for one-piece systems.

8. The Stealth Pro Belt, available in horizontal or vertical versions, is recommended for high-activity use such as running, officiating sports, bow hunting, and hiking. It supports the pouch without pulling down but may feel warm in summer.

9. NuHope-style fabric ostomy belts and similar products like the Healvian 2-Pack Adjustable Uriel Abdominal/Colostomy Belt, available on Amazon, are washable, comfortable, and offer moderate support.