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Jul 15, 2025

Does Stoma Size Change with Weight Gain After Surgery?

This topic is about understanding changes in stoma size after regaining weight following surgery. If you've recently had a colostomy and are noticing changes in your stoma size as you regain weight, you're not alone. Here are some helpful insights and advice:

1. It's common for stoma size and shape to change frequently. It might be larger when you're active and smaller when you're inactive. Over time, it will settle, but fluctuations can still happen.

2. During the early stages of healing, the stoma often shrinks. However, as you gain weight or your abdomen fills out, you might notice a slight enlargement. This is generally considered normal.

3. When cutting the wafer, it's safer to make the opening slightly larger rather than too tight. You want to avoid "strangling" the stoma.

4. Keep measuring your stoma regularly. Many nurses recommend checking it monthly, and even those who have had an ostomy for a long time report changes from time to time.

5. Take your time when fitting the appliance. It's perfectly okay to be careful and precise. Accuracy is more important than speed, so don't worry about being too fussy.
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