This topic is about someone experiencing sudden pain, swelling, and low output around their left-sided ostomy, raising concerns about whether it might be constipation, a blockage, or a hernia. Here's a breakdown of the situation and some helpful advice:

- The person woke up with pain on the right side near their left-sided ostomy, along with noticeable swelling and very low output. They had eaten a large amount of pasta salad the day before and were unsure if it was causing constipation or another issue.

- A few hours later, the pain lessened, and some soft stool began to pass. They took a stool softener, drank hot coffee, and considered walking and contacting their stoma nurse.

- That night, they went to the ER, where they were admitted. A CT scan was done, and an NG tube was inserted. The ER doctor suspected a parastomal hernia with possible strangulation, but imaging and lab results were normal. They were discharged with instructions to try a short soft-diet.

- A follow-up with their primary care physician was scheduled, and they were being measured for a stoma/hernia belt. They use Edgepark for supplies, but there was a delay in the belt shipment, raising concerns about Medicare coverage and costs despite a discount.

- They are taking warfarin, so they limit foods high in vitamin K. Their ostomy is now functioning normally, their INR is stable, they have an umbilical hernia, and their diet has returned to normal, including pizza.

Advice and insights include:

1. Very low liquid output with pain and swelling can indicate a blockage. Consider what was eaten, like pasta which can thicken output, and how well it was chewed.

2. Immediate ER visits are advised if there is 6–8 hours of pain with nausea/vomiting and minimal output, as intestinal tissue can be damaged quickly.

3. First-line self-help measures, if there are no severe symptoms, include:
- Drinking a hot beverage like tea, coffee, or hot chocolate.
- Gentle abdominal massage.
- Walking or moving around to stimulate bowel activity.

4. Stress, mood, medications, and supplements can affect ostomy output. Try to stay calm and evaluate recent changes before panicking.

5. Hernias, such as parastomal and umbilical, are common and can recur even after repair. Avoid lifting heavy items, and consider using a hernia belt for support. Ensure it is properly measured and worn consistently.

6. Edgepark is noted for fast, helpful service for normal orders, but special-order belts can take longer. Plan ahead to avoid running low on supplies.

7. An NG tube may be used in the ER to decompress the stomach while evaluating possible obstructions, though its effectiveness for preventing hernia strangulation was questioned.

8. Enjoying a varied diet is possible. Monitor individual tolerance, and if irrigating, be aware that high-fiber foods may affect the routine.

9. Members of the community offer reassurance that gaining knowledge and experiencing minor episodes builds confidence. Keep communicating with healthcare providers and fellow ostomates.