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Aug 02, 2023

Is Stoma Protrusion Normal After Surgery?

This topic is about understanding changes in the size of a stoma after surgery, specifically whether an increase in size is a normal change or a sign of a possible prolapse. Here are some insights and advice shared by others who have experienced similar situations:

- It's common for a stoma to change size. Many people notice that their stoma protrudes more when they are standing or active and flattens when they lie down. This can be a normal part of the healing process after surgery.

- If the stoma remains larger all the time or if it seems like new bowel tissue is coming out, it might be a prolapse. It's important to consult with an ostomy nurse or surgeon to get a proper assessment.

- Be aware of warning signs that require immediate medical attention, such as pain, a change in color, loss of output, or a rapid and extreme increase in the stoma's length.

- Some people have shared their personal experiences:
1. One person’s stoma increased in size and developed a parastomal hernia. They were advised to monitor the situation, use a support belt, and not worry as long as there was no pain and the appliance was sealing well.
2. Another person experienced a 5-inch prolapse that needed emergency treatment and eventually led to a change from a colostomy to an ileostomy.

- A small prolapse can be easier to manage than a retracted stoma, but both conditions require professional oversight.

- For self-care:
1. If recommended, wear a support belt to help manage a hernia or prolapse.
2. Keep the skin around the stoma healthy and watch for any color changes.
3. Use reliable sources of information, as experiences can vary widely.

- Seek professional support from knowledgeable ostomy nurses. Not all have the same level of expertise, so find one who provides thorough guidance and feel free to ask detailed questions during your appointments.
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