This topic is about a person who has been dealing with recurring growths on their stoma, which is part of their digestive system that has been brought to the surface of the abdomen due to surgery. These growths are painless but tend to bleed easily, and they have been appearing for the past five years. Here are some insights and advice shared by others who might have experienced similar issues:

1. The growths appear directly on the stoma, not on the surrounding skin, so adjusting the size of the wafer opening won't help. They can become quite large, look unpleasant, and bleed heavily if accidentally bumped during bag changes, which can also make it difficult for the pouch to stick properly.

2. In the past, samples of these growths were sent for pathology and were found to be benign. However, the current surgeon has not mentioned testing them.

3. The person wonders if friction from belts or clothing could be causing these growths, although they rarely wear belts.

4. Some people suggest that these growths might be granulomas, which are benign and highly vascular tissues that can form due to trauma or friction where the stoma meets the skin.
- These are often treated with silver nitrate, but larger ones might need to be surgically removed or cauterized.
- Friction from the appliance might cause over-healing, so keeping the wafer hole slightly larger could help reduce irritation.

5. Another possibility is that these growths are scar-tissue "skin tags" caused by repeated minor knocks, such as from sports or tight belts.
- It is recommended to have any removed tissue sent for histology to ensure it is benign.

6. A practical tip is to work slowly and carefully during bag changes to avoid knocking the growths, which can cause bleeding and interfere with the pouch sticking properly.