This topic is about a person who has been using an ostomy appliance for about a year and has noticed some swelling and hardness under their Hollister New Image pouch. They are trying to figure out if this is a normal change after ostomy surgery or if it might be a hernia.

Here are some helpful insights and advice shared by others:

1. It's important to have the swelling examined by a doctor. Some people have experienced a similar firm swelling, which their doctors considered normal, but it's always best to get a professional opinion.

2. Possible causes for the swelling include:
- A peristomal hernia, which is a weakness in the abdominal wall that allows the bowel to protrude.
- Adhesions from previous surgery.
- A temporary bulge caused by stool accumulating in the intestine near the stoma.

3. To determine the cause, a CT scan or ultrasound is recommended by several people to differentiate a hernia from other issues.

4. For conservative management and support:
- Wearing an ostomy or support belt can help. The Hollister Adapt Belt #7300 is one option, and manufacturers often provide free samples if you ask.
- Wearing tight undershirts or tank tops in layers can offer extra support when the bulge becomes more noticeable.

5. Regarding the appliance:
- Some people switch between different pouching systems depending on how their abdomen changes shape each day.
- If discomfort continues, it might be worth trying pouches from other brands, as there are many alternatives to Hollister.

6. If surgery is considered, one person's doctor mentioned that hernia repair can be risky and that hernias often come back. Therefore, non-surgical support might be a better option for some individuals.