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Apr 22, 2015

Dealing with a Growing Hernia and Its Challenges

This topic is about dealing with a large parastomal hernia and the resulting bladder pressure after colostomy surgery. The person who shared their experience is facing significant challenges, including frequent and uncontrollable urination. Here are some helpful suggestions and insights from others who have faced similar issues:

1. Check for infections: It's important to rule out any urinary tract infections that might be contributing to the frequent urination. A simple urine test from your doctor can help with this.

2. Consider mechanical support: Many people find relief by using a wide abdominal or hernia support belt. This can help lift or redistribute the weight of the hernia, potentially easing the pressure on the bladder. Make sure the belt has an opening for the stoma appliance.

3. Allow time for healing but plan for follow-up: Sometimes, surgeons prefer to wait a few weeks to see if swelling decreases or if scar tissue strengthens. If your symptoms continue after the four-week check-up, discuss a revised plan with your doctor, which might include hernia repair.

4. Weigh surgical options carefully: While hernia repair might relieve pressure, it also comes with risks like potential nerve damage or changes in bladder sensation. It's important to consider these factors before deciding on further surgery.

5. General coping strategies:
- Use pads or incontinence products specifically designed for urine instead of household paper towels for better absorption and skin protection.
- Try scheduling bathroom visits at regular intervals to help manage urination if you're having trouble sensing when you need to go.

6. Seek emotional support: It's normal to feel uncomfortable or distressed in this situation. Don't hesitate to reach out to healthcare providers for comfort measures and support during this challenging time.
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