This topic is about someone who is experiencing a painful issue with their stoma, which developed a small side-hole or fissure nine weeks after a Hickman procedure. The stoma, initially recessed, is now managed with convex bags. The person has gained some weight, which has caused the stoma to protrude slightly. They are seeking advice on how to relieve the pain and prevent further complications. Here are some helpful suggestions and insights shared by others:

1. Seek prompt medical review:
- It's important to see the surgeon as soon as possible. Getting a second opinion from another stoma nurse might also be beneficial.

2. Clarify anatomy and rule out stenosis:
- Confirm whether the issue is due to the size of the stoma (stenosis) or if it's a true side fistula or hole, as the treatment approach will differ.

3. Don’t blame yourself:
- Remember that fissures or side holes are not caused by anything you did wrong. Keep your confidence up while seeking professional help.

4. Protect sore skin and improve seal:
- Consider using an Eakin Cohesive Ring or the thinner Eakin Cohesive Slim version. These can be molded to fit the stoma's shape, help create a better seal, reduce leakage, and soothe irritated skin.

5. General support:
- Keep monitoring the situation but try not to worry too much, especially if medical staff have indicated that the tissue around the hole is healthy.