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Feb 23, 2025

Ostomy Size and Pain Concerns

This topic is about someone experiencing a significant issue with their ostomy, specifically a parastomal hernia. This condition has caused the area around their stoma to enlarge dramatically, leading to severe pain and difficulty walking upright. They have a doctor's appointment scheduled but are unsure if it will be helpful. Here are some insights and advice shared by others:

1. The swelling is around the stoma, not the stoma itself.
2. They own several hernia/ostomy belts, but find them painful, especially on the back, so they are rarely worn.
3. They hope the GP will provide a referral to a surgeon, although surgeons are scarce in Alaska.

Advice and insights from others include:

1. It is likely a parastomal hernia, so confirming the diagnosis with a colorectal or general surgeon as soon as possible is important.
2. Do not delay seeking help. Without a proper hernia belt, the hernia may continue to grow and could become an emergency.
3. Wear a hernia support belt consistently until a surgical evaluation can be done, even if it is uncomfortable. Discuss pain management strategies with your doctor.
4. If the current belts are painful, try different models. Nu-Hope hernia support belts, which come in various widths and configurations, might be worth considering.
5. Be prepared to travel to a larger hospital system if necessary, as colorectal surgeons can be hard to find, but timely care is crucial.
6. Personal experiences shared by others include:
- One person needed urgent surgery after their intestine slipped under the hernia despite using a belt, resulting in a five-day hospital stay and a four-week recovery.
- Another person lost additional small bowel after experiencing multiple parastomal hernias, emphasizing the importance of strict belt use and prompt surgical intervention.
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