This topic is about finding safe and effective ways to strengthen your core and manage a hernia after having a colostomy. If you've recently had a colostomy and are looking to firm up your abdomen while dealing with a parastomal hernia, here are some helpful tips and advice:

- If you're in the UK, consider joining the Ileostomy & Internal Pouch Association (IA). For a small membership fee, you can access online exercise classes specifically designed for stoma safety, led by a sports-rehab specialist.

- It's important to wear a dedicated parastomal support belt to prevent the hernia from getting worse. Some options include:
- Nu-Hope Corporation belts, which some people wear full-time.
- Stealth Belt, which is wider and sport-oriented, providing good support even during activities like swimming and hiking.

- Be cautious with exercises that load the core until your hernia is repaired or well-supported. Some surgeons recommend sticking to activities like cycling and walking.

- If you choose to exercise with a hernia, avoid or be very careful with exercises like planks, crunches, "six-pack" moves, heavy lifting, and anything that strains the horizontal abdominal muscles. Instead, look for "diastasis recti" programs, which focus on the vertical muscles and are often safe for stoma patients.

- Consider working with a physiotherapist or physical therapist who specializes in abdominal and pelvic health, stomas, hernias, and incontinence. They can help design a routine tailored to your needs.

- Keep in mind that wearing a support belt continuously can weaken your core muscles. It's important to balance this with strength work under professional supervision to maintain everyday functions like getting in and out of bed or a car.

By following these guidelines, you can work towards strengthening your core safely while managing your hernia.