The topic at hand is about noticing a bulge around the stoma after a colostomy, which turns out to be a parastomal hernia. This is a common occurrence for many people with an ostomy. Here are some helpful insights and advice on this situation:

1. Parastomal hernias are quite common after an ostomy, and many people experience them without any pain.

2. It's typical for the hernia to reduce or flatten when lying down. However, as it grows, it might not flatten as easily. Keep an eye on its size and any changes in symptoms.

3. Minor strains like sneezing, coughing, or internal abdominal pressure can cause or enlarge a hernia, not just heavy lifting.

4. Engaging in gentle core-strengthening exercises, as tolerated, both before and after hernia repair can help prevent future hernias.

5. Repairing the hernia during a colostomy reversal is standard practice. It's best to follow your surgeon's plan unless any complications arise sooner.

6. The surgical technique for hernia repair is important. It involves suturing the defect and reinforcing it with mesh. The type of mesh and its placement can affect the long-term outcome.

7. It's wise to choose a surgeon experienced in hernia repairs. Don't hesitate to ask about their experience and success rates.

8. Each additional abdominal surgery can weaken the abdominal wall, so it's crucial to have an optimal initial repair and allow adequate healing time.

9. A hernia is typically indicated by a soft, reducible bulge around the stoma or incision site, which becomes more noticeable when standing, coughing, or straining. If you experience persistent pain, the hernia can't be reduced, or it grows rapidly, seek medical attention promptly.

10. Some people have shared their experiences, like having a hernia grow to a large size yet still being manageable, or developing multiple hernias after other surgeries. In some cases, surgeons may choose to monitor the situation rather than intervene immediately.