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Jul 14, 2024

Is It Normal for Stoma Size to Change After Surgery?

Topic Explanation
The forum topic discusses whether it is normal for the size of a stoma to change after surgery. The person initiating the discussion has observed their stoma shrinking and then enlarging within a two-month period post-surgery and is seeking confirmation and advice from others with similar experiences before their upcoming surgeon appointment.

Advice and Insights from Replies
1. Stoma Size Variation: It is normal for the size and protrusion of the stoma to change, especially in the months following surgery. This can be influenced by various factors including digestive activity.
- Some stomas may shrink in diameter and then stabilize at a certain size.
- The extent to which the stoma protrudes can vary daily.

2. Individual Differences: Each person's experience with their stoma can vary significantly. Some may notice frequent and noticeable changes in size, while others may see minimal changes.

3. Monitoring and Management:
- It's important to monitor any changes in the stoma and adjust the size of the flange hole accordingly to ensure a proper fit of the ostomy appliance.
- Regular follow-ups with a healthcare provider are crucial to address any concerns and to ensure the stoma is healing properly.

4. Potential Complications:
- Be aware of other symptoms that might indicate complications, such as pain or fever. In such cases, contacting a healthcare provider promptly is advised.
- In one instance, a hernia was mentioned as a cause for significant changes in stoma size, which did not affect the function of the ostomy appliance but required adjustments.

5. Reassurance: Many responses highlighted that fluctuations in stoma size are a normal part of the healing process and should stabilize over time. Engaging with a healthcare provider for personalized advice and reassurance is beneficial.
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