This topic is about concerns related to parastomal hernias, particularly when someone notices a bulge near their stoma and experiences discomfort, even though CT scans do not show a hernia. Here are some insights and advice on this matter:

1. A stoma itself can resemble a hernia, and radiologists might consider the bulge as part of the normal post-surgical anatomy. This means that CT scans might not always show a new hernia even if a bulge is present.

2. Parastomal hernias are often diagnosed clinically. An experienced stoma nurse or colorectal surgeon can usually identify a hernia by looking at the area and asking the patient to cough, without needing imaging tests.

3. Surgery to repair a parastomal hernia often has a high chance of recurrence. Therefore, specialists usually suggest monitoring the situation unless the hernia becomes painful or difficult to manage.

4. Wearing a hernia support belt can help prevent the hernia from protruding further. These belts are available commercially but might need some personal adjustments for better comfort and effectiveness.

5. Constipation is not typically a symptom of a simple parastomal hernia. However, it can indicate a more serious issue like a strangulated hernia, so persistent constipation or pain should be checked by a doctor.

6. Other issues, such as constipation caused by medications, can mimic hernia symptoms. If you experience constipation and discomfort, it might be helpful to review any pain medications, especially narcotics, that you are taking.

7. For those who use irrigation, a parastomal hernia might slow down or block the flow. Increasing the frequency of irrigation, such as doing it every 12 hours, can help maintain regularity.