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Jun 14, 2015

Seeking advice for managing parastomal hernia and bag visibility

This topic is about dealing with the discomfort and visibility issues caused by a parastomal hernia, which can make an ostomy bag more noticeable. The person experiencing this has tried various support belts but finds them uncomfortable and is seeking other ways to reduce the bulk and improve comfort. Here are some suggestions and insights that might help:

1. Consider wearing looser-fitting trousers. Casual styles with pleats or flexible waists can help reduce the outline of the pouch. Suspenders or stretchable belts can also be useful to hold up trousers without putting pressure on the hernia.

2. Look into custom or specialized belts.
- Nu-Hope offers belts that can be tailored to the exact location and size of your hernia. You can contact them at 1-800-899-5017.
- CUI hernia belts provide general abdominal support and can offer extra security when needed.

3. Try stretchable wraps. Ostomy Secrets provides durable, soft wraps with internal pockets that support the appliance during activities like sports, travel, and daily wear, while also smoothing out the body contour.

4. Create a DIY rigid support.
- You can make a small plastic plate with a stoma-sized hole and secure it with Velcro-fastened elastic straps. This allows for independent tension above and below the stoma, helping to achieve uniform pressure.
- Use double-sided tape on the skin-side to prevent shifting and discomfort.
- This setup can be adapted for use during irrigation by combining it with plugs or sleeves if you irrigate.

5. Accepting the hernia as a “platform” can sometimes improve wafer adherence and minimize leaks. Focusing on comfort and appliance security might be more beneficial than trying to completely eliminate the bulge.
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