This topic is about dealing with a parastomal hernia that developed after a colostomy. The person sharing their experience is facing discomfort and complications, and is considering surgery to address the issue. Here are some insights and advice that might be helpful:

1. **Understanding and Managing Pain**
- Discomfort from a hernia can be frequent and affect daily activities like walking.
- Pain management is important, but relying heavily on painkillers like Advil and Tylenol isn't ideal long-term.

2. **Causes and Prevention of Parastomal Hernias**
- Surgery can weaken abdominal muscles, increasing the risk of hernias.
- Gentle abdominal exercises might help reduce swelling, but it's crucial to consult with a healthcare professional before starting any exercise routine.

3. **Using Hernia Belts**
- A snug, adjustable hernia support belt can provide relief by compressing the hernia and stoma area.
- Some people prefer belts without a hole for better compression.
- Adjustable belts are recommended as they maintain their fit better over time.

4. **Exercise and Activity**
- Wearing a hernia belt during activities like Zumba can help manage the bulge and reduce pain.
- It's important to gradually resume activities and pay attention to any discomfort.

5. **Surgical Repair Options**
- Combining colostomy reversal and hernia repair in one surgery can be complex, and some surgeons prefer to stage these procedures separately.
- Some individuals opt to keep the colostomy and repair the hernia using a biological mesh, which can improve appearance and function over time.
- Following lifting precautions after surgery is crucial to prevent the hernia from recurring.

6. **Quality-of-Life Considerations**
- Keeping a stoma after hernia repair can offer predictable bowel movements and reduce issues like loose stools.
- Reversal of the colostomy can still be an option in the future if desired.

These points offer a range of options and considerations for managing a parastomal hernia, whether through lifestyle adjustments or surgical intervention.