This topic is all about understanding parastomal hernias, which can occur after ostomy surgery, and exploring ways to prevent them. A parastomal hernia happens when the intestine pushes through the abdominal wall near the stoma, creating a bulge. Here are some insights and advice shared by others who have experience with this:

1. A helpful resource is a UOAA Ostomy Academy YouTube webinar that explains the structure of hernias and how hernia belts can help. Many found the video useful for its clear graphics and explanations.

2. Strengthening your core and abdominal muscles is important. Regular exercises targeting these areas can help in preventing parastomal hernias.

3. Support garments can be beneficial:
- Wearing a supportive belt or a strong "belle wrap" during activities that might strain your abdomen is recommended.
- Keep in mind that while these belts can help, they should be used alongside proper exercise and caution, as hernias can still develop.

4. When it comes to activities:
- Avoid heavy straining and focus on gentle, controlled movements, especially if you have two stomas, as this can make surgical repair more complex.
- Maintain general fitness through activities like walking or moderate weight training, but be sure to monitor for any discomfort around the stoma or any existing hernia.

5. Some are considering using devices like an EMS/TENS muscle stimulator to strengthen abdominal muscles. However, consistent use and results are still being explored by those who have tried it.