Preventing Hernias After Ileostomy: Tips and Advice

Topic Explanation:
The discussion centers around concerns of developing hernias after having an ileostomy. The original poster, who had the surgery 12 weeks ago, is experiencing abdominal pain and changes in their stomach's appearance, raising concerns about hernias. They are seeking advice on prevention methods, particularly regarding the use of support belts and exercises, while ensuring the stoma is not obstructed.

Advice and Insights:

1. Core Exercises:
- Core exercises are recommended to strengthen abdominal muscles and prevent hernias. Start with gentle exercises and gradually increase intensity. Avoid crunches and sit-ups; instead, try planks and leg lifts.
- Google 'abdominal exercises for ostomy' for helpful videos. The UOAA provides reliable resources.

2. Support Belts:
- Wearing a support belt can help prevent a hernia from worsening. Some belts are designed with holes to accommodate the stoma, preventing blockage.
- Support belts do not necessarily prevent hernias but can provide support during certain activities. They should not interfere with stoma output if designed correctly.

3. Lifting and Physical Activity:
- Avoid lifting heavy objects and limit lifting to under 5 lbs. Be cautious with activities that could strain the abdomen, such as coughing or sneezing.
- Be careful with lifting during workouts to avoid injury.

4. Weight Management:
- Keeping weight down is important as being overweight increases the risk of hernias.

5. Seatbelt and Clothing Considerations:
- To prevent seatbelts from restricting stoma output, place the bag outside the seatbelt and cover it with a shirt.
- Some belts and clothing are designed to accommodate the stoma without blocking it.

6. Legal and Medical Considerations:
- Hernias are a known risk of ostomy surgery and generally not considered medical malpractice. However, if pursuing legal action, consult reputable firms knowledgeable in hernia mesh issues.