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Sep 24, 2024

Stoma Size Increasing and Hernia Belt Recommendations

This topic is about dealing with concerns related to a parastomal hernia and a growing stoma after surgery, as well as seeking recommendations for hernia support belts. The person is recovering from a temporary ileostomy following colon cancer surgery and is experiencing changes in their stoma and hernia. They are looking for advice on managing these issues, especially since they don't have easy access to an ostomy nurse and have had trouble finding suitable hernia belts online.

Here are some helpful insights and advice:

1. It's important to have the parastomal hernia re-evaluated soon. Understanding its current state can help guide your next steps and potentially prevent complications.

2. When it comes to finding the right hernia belt:
- The Coloplast Brava hernia belt can be ordered through an ostomy nurse. It can be professionally sized, and the opening can be custom-cut. Many insurance plans cover it if you have the proper documentation.
- Nu-Hope Corporation offers belts in various widths and styles. They are comfortable for continuous wear, even while sleeping, and can be highly customized. You may need a prescription from your surgeon or primary doctor, along with the flange diameter information from your wafer or bag boxes, to facilitate insurance coverage or direct purchase.

3. Regarding insurance:
- Private insurance plans often cover one or more belts per year. Medicare might be more challenging, and some people choose to purchase belts themselves.

4. General care for hernias and stomas:
- Parastomal hernias are common and usually not harmful, but they can occasionally lead to strangulation. If you experience persistent pain, a change in color, or a fever, it's important to seek immediate attention at an emergency room, not an urgent care center.
- A soft or low-residue diet, along with antibiotics if prescribed, can help ease discomfort when the stoma or hernia becomes painful or overly active.

5. Using a well-fitted belt continuously can help support your abdominal wall and may slow the enlargement of the hernia.
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