When you're working a physically demanding job and have an ostomy, finding the right supportive belt can make a big difference in comfort and security. A stoma nurse suggested switching to a sturdier belt, and there are several options to consider. Here's a rundown of some recommendations and insights from others who have been in the same situation:

1. Stealth Belt
- Known for good support and concealment during daily activities or less active work.
- Some users have experienced issues like "pancaking," flow restriction, and pressure on the stoma during activities like golf or heavy work, leading them to stop using it.
- The standard width might not be enough for strenuous work unless you opt for a custom, wider model.

2. Nu-Hope (NuHope) Belts
- Frequently recommended by users.
- Available in various widths (2", 3", 4") and materials, with wider versions offering better support and hernia protection for physically demanding tasks.

3. Coloplast & Hollister Belts
- Standard belts from these brands are effective for activities like golf, cycling, and heavy landscaping for some users.
- One user wears the small belt that comes with a Hollister two-piece system all the time.

4. HerniPro
- Offers adjustable, custom belts; one user finds theirs perfect for golf and cycling.

5. Fulcionel EasyWear Belt by CUI
- Easily adjustable, and the company is open to creating custom designs.
- Some users report skin sensitivity to the elastic rim, which can be managed by folding the rim away from the skin.

6. TEMU Generic Belt
- About 5 inches wide with an appliance cut-out, costing under $6, making it an affordable alternative.

7. Compression Garment Alternative
- Thin polyester compression tank tops, sometimes called "men’s girdles," can be worn under shirts to flatten and support the pouch comfortably in warm weather. They are inexpensive and discreet.
- A potential downside is that they might increase "pancaking."

Key Points to Consider:
- Wider belts (4–5 inches) help distribute pressure and can prevent hernias during strenuous activities.
- Custom sizing or adjustable designs (like those from Nu-Hope, HerniPro, and CUI) can enhance comfort and effectiveness.
- It's important to test for issues such as pancaking, stoma pressure, and skin irritation before investing in an expensive belt.