Managing a parastomal hernia after ostomy surgery can be a bit challenging, especially if you're just getting back to activities you love, like going on a cruise. If you've noticed a hernia forming behind your stoma, here are some practical steps and advice to help you manage it:

- First, make sure to confirm the diagnosis with your consultant or ostomy nurse before taking any further steps.

- Consider using a properly fitted hernia support belt. Some options include:
- Nu-Hope belts, which come in 2", 3", and 4" widths. They are known for being comfortable enough to wear all day and night, and they are suitable for activities like cycling. The 4" belt provides extra support, especially during coughing or sneezing.
- Comfizz, a UK supplier, offers a full range of ostomy support belts that are available on NHS prescription.

- Incorporate core-strengthening exercises into your routine. These exercises can help support your abdominal muscles and may help control the growth of the hernia.

- Many people with ostomies and healthcare professionals suggest delaying surgical repair unless the hernia is affecting intestinal function or causing significant pain, as hernias often recur after surgery.

- Keep in mind that hernias can develop from everyday actions like coughing or sneezing, so while cycling might contribute, it may not be the only cause.