This topic is about a concern many ostomates might face: a golf-ball-sized lump near the stoma, which could be a parastomal hernia. A parastomal hernia happens when a weak spot forms in the abdominal wall around the stoma, allowing the bowel to push through. Here are some helpful insights and advice for managing this situation:

1. It's quite common for ostomates to develop a parastomal hernia. The only definitive way to "cure" it is through surgical repair, but the success of such surgeries can vary, and hernias often recur. Many doctors suggest not opting for surgery unless the hernia grows, affects the pouch seal, causes pain, or blocks the bowel.

2. Key management strategies include:
- Keeping an eye on the hernia's size and any changes. It's important to seek medical advice if it grows, causes pain, or leads to leakage.
- Using a dedicated ostomy or hernia support belt can help provide external pressure and slow the hernia's progression. Some recommended products are the Coloplast Hernia Belt and the Stealth Belt.
- Consulting with an ostomy nurse is crucial for getting the right size and fit for these belts, as they come in various materials, sizes, and shapes.

3. To prevent or stabilize the hernia:
- Engage in safe core-strengthening exercises that are specifically adapted for people with stomas. These exercises can help slow the growth of the hernia or even reduce it. You can search for "safe core exercises for stomas" for more information.
- Avoid heavy lifting or learn proper lifting techniques to reduce abdominal strain.

4. Many in the community have successfully managed their parastomal hernias for years without surgery by using a combination of support belts and core exercises.