This topic is about someone experiencing issues with their stoma, which is alternating between being very slow and suddenly becoming over-active. They are seeking ideas on what might be causing these fluctuations. Additionally, they suspect they might have a parastomal hernia, as the area around the stoma is swollen. A stoma nurse has also suggested it could be a hernia. The person is understandably concerned about the possibility of needing another surgery, having already undergone four hernia operations and a stoma relocation.

Here are some helpful suggestions and insights:

1. Seek professional assessment: If the changes in stoma output aren't linked to new foods or other obvious triggers, it's important to consult with a stoma nurse or doctor for a thorough evaluation.

2. Consider hernia management options:
- Many people manage parastomal hernias without needing further surgery.
- There are support garments and other products specifically designed for hernias that might provide relief and support.

3. Lifestyle adjustments: To reduce the risk or progression of a hernia, try to avoid heavy lifting and activities that increase abdominal pressure.