This topic is about concerns related to a bulge noticed above the stoma after ostomy surgery, which might be a peristomal hernia. The person is trying to figure out the best way to handle this situation, including whether to continue using a hernia belt or start core-strengthening exercises. Here are some helpful insights and advice shared by others:

1. Get imaging and specialist review:
- It's recommended to go back to the original surgeon and request a CT scan to determine if the bulge is a peristomal hernia or something else.
- Early assessment might allow for intervention before the hernia gets larger.

2. Monitor stoma appearance:
- Regularly check for any color changes in the stoma, such as pale, white, or very dark shades, which could indicate issues with blood flow. Report any changes immediately.

3. Use of hernia belts:
- Wearing an ostomy or hernia support belt during the day is common practice. Many have been advised by stoma nurses and surgeons to do so for comfort and to prevent further protrusion.

4. Surgical intervention is often deferred:
- Surgeons might choose to monitor the situation unless the hernia grows, causes pain, or makes it difficult to fit the appliance.

5. Advocate for yourself:
- If primary-care providers seem dismissive, consider seeking a second opinion or changing doctors. Persistent follow-up is crucial, especially if standard guidance doesn't feel adequate.

6. Core strengthening:
- Mild abdominal exercises, approved by a surgeon, might be beneficial once healing is complete. However, it's important to get imaging and professional clearance first to ensure these activities won't worsen a hernia.