This topic is about someone who has noticed a swelling or mound around their stoma, which appeared after surgery. Despite losing 14 pounds, the swelling hasn't changed, and they are curious about the cause and whether they should be concerned. Here are some helpful insights and advice shared by others:

1. It might be a peristomal (parastomal) hernia. After surgery, abdominal muscles can be weakened, making hernias more common. A hernia can cause a bulge that might not reduce with weight loss. It's a good idea to consult an ostomy nurse or doctor for an evaluation.

2. Consider changing your ostomy device to reduce visible bulk. A 2-piece system's flange ring can be noticeable, so switching to a 1-piece pouch might help it lie flatter under clothing and swimwear. You can request free samples of 1-piece systems from manufacturers to try them out.

3. Keep managing your weight. Continuing with gradual weight loss might help reduce overall abdominal size, although it may not affect a true hernia.

4. Understand that some anatomical variations are normal. One person shared that their surgeon said a firm mound around the stoma can be normal and even beneficial. It can provide a smooth surface for the flange, improving how long it stays secure.

5. Choose the right clothing. Wearing loose or comfortable swim trunks can help hide any outlines, and most people at the beach are unlikely to notice.

6. Don't worry too much if the mound is firm, painless, and your appliance sticks well. It might just be a harmless contour rather than a problem.