This topic is about the challenges of irrigating with hernias, particularly when they obstruct the colon and make it difficult to achieve a complete wash-out. Here are some helpful tips and insights shared by others who have faced similar issues:

1. Pre-irrigation routine:
- Try fasting for 4–5 hours before you irrigate and have only a light meal afterward.
- When instilling water, stand up and use your hand to support the hernia area.
- Be prepared for some trial and error as you find what works best for you.

2. Increase inlet pressure safely:
- Raising the gravity bag can increase the flow; for example, every foot of elevation adds about 0.5 psi. Some find that elevating the bag speeds up the process significantly.
- Be cautious not to apply too much pressure, as the safe limit for bowel tissue is still a question.

3. Mechanical aids:
- A hand-pump sprayer, like a repurposed garden sprayer, can provide low, controllable pressure and reduce input time.
- A hydration backpack might be adapted for irrigation, offering discreet pressure and storage for supplies.
- An ostomy nurse mentioned that Coloplast plans to release a pressure-assisted irrigation system soon.

4. Frequency adjustments:
- Some people irrigate every second or third day if their output is small, while others do it twice in a row when traveling for extra security. No negative effects have been reported, but feedback on safety is welcome.

5. Diet considerations:
- The type of food you eat can greatly impact irrigation success and hernia comfort. It's suggested to limit red meat unless minced, and opt for meals like pork cutlets, chicken casseroles, and stroganoff. Avoid foods that cause adhesion pain.

6. Hernia support devices:
- A peri-stomal hernia belt can improve comfort during the day, but some have found it unreliable at night as it may detach and pull off the pouch.

7. Surgical perspectives:
- Some surgeons are hesitant to repair peri-stomal hernias due to the risk of adhesions and recurrence. Instead, they often recommend conservative management with belts and irrigation adjustments.