This topic is about managing a stoma that has become distended, or enlarged, after undergoing re-fashioning surgery. The person who shared their experience had a stoma that initially looked good after surgery, but over the past three months, one side of it has grown significantly larger. This change has made them feel self-conscious and worried about the possibility of the stoma prolapsing again. They are seeking advice on how to manage or reverse this distension.
Here are some helpful suggestions and insights from others who have faced similar situations:
1. Consider using external support. Many people recommend trying an ostomy hernia belt or a general ostomy support belt. These can help hold the stoma in place and reduce the pressure that causes it to protrude.
2. Explore alternative light compression options. One person found that a standard hernia belt actually made the protrusion worse. Instead, they had better control using an elastic swim waistband or girdle designed for ostomates, which provides lighter and more even compression.
3. Practical tips from personal experience:
- Be mindful of activities that increase abdominal pressure, such as coughing, heavy lifting, or straining.
- Protect the protruding stoma from bumps, as its length inside the pouch might help reduce leaks.
- Keep in mind that repeated corrective surgeries might not always be possible, especially if the abdominal muscles are weakened, for example, due to long-term steroid use.
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