Topic Explanation:
The discussion centers around managing a large hernia under a stoma, which is causing discomfort and affecting the ability to wear regular clothing. The original poster describes the hernia as being 4 inches round and 3/4 to 1 inch high, discovered 1.5 years post-surgery. The hernia is causing significant discomfort, especially when sleeping, and is impacting the poster's social life and self-image.

Advice and Insights:

1. Consider surgical repair if possible, as it may prevent future complications with the stoma.
2. Use a hernia support belt to manage the hernia, although some find it uncomfortable as it may slide around.
3. Engage in core exercises, as they may help prevent the hernia from enlarging or potentially reduce its size.
4. Wear tights or larger, stretchy clothing to accommodate the hernia and provide some support.
5. Opt for longer tops to help conceal the hernia and any associated bulges.
6. Some individuals find that a second stoma can help anchor the hernia, preventing the belt from sliding.
7. Be aware that surgical repair may not be a permanent solution, as hernias can recur.
8. Consider using a one-piece bag system to minimize the appearance of the hernia, though it may complicate the process of burping the bag.