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May 17, 2025

Experiences with a Small, Flat Stoma

This topic is about having a small, flat stoma and whether it's something to be concerned about. The person sharing their experience has a small stoma that works well, and they are looking for reassurance from others with similar experiences. Here are some helpful insights and advice from others who have been in the same situation:

1. Many people have small or slightly protruding stomas, around 15 mm in diameter and 10 mm in protrusion, that function perfectly fine. They suggest not worrying about it unless you experience issues like leaking or skin irritation.

2. If your stoma is an ileostomy, it's common for it to be smaller since it's formed from the ileum. Colostomies tend to be larger. What's more important is that the stoma protrudes enough to prevent leaks, rather than its exact size.

3. Even if a stoma is retracted or "inny," it can still work well. However, if the opening is very tight, medical intervention might be needed. For instance, one person mentioned their doctors used a dilator set to widen the opening for a colonoscope.

4. Sometimes, gaining weight after surgery can cause a recessed stoma to protrude a bit more, which can make it easier to manage.

5. Small, tight stomas might cause discomfort when passing stool. Keeping stools loose and avoiding hard-to-digest foods, like whole kernels of sweet corn, can help reduce pain and prevent blockages.

6. Remember, bodies and surgical techniques vary greatly across different countries, so stomas can look different from person to person. The key is to have consistent output, no leaks, and to feel comfortable.
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