Living with an ileostomy can come with its own set of challenges, and dealing with multiple hernias is one of them. If you've had an ileostomy since 2003 and are now facing your third hernia, you're not alone. This time, the hernia is near the stoma, and previous repairs have been tough. Here are some insights and advice that might help if you're in a similar situation:

1. Weight gain can significantly increase abdominal pressure, which raises the risk of developing hernias. If you're working on weight loss, that's a great step in managing this issue.

2. A weight-loss management program through your insurance can be a helpful resource. It’s good to have support on this journey.

3. An ostomy nurse can be a valuable ally. They might suggest a custom hernia ostomy belt to provide support until you reach your weight loss goals and can schedule a surgical repair.

4. If you're dealing with multiple hernias, especially after challenging repairs, consider consulting or getting a second opinion from a colorectal or ostomy surgeon. Their expertise can be crucial in managing your condition.

5. A custom hernia ostomy belt can be beneficial. Many find that it helps keep abdominal contents in place and improves the pouch seal right after changing the appliance.

6. Keeping your weight within recommended limits is important. Excess weight can increase intra-abdominal pressure, which in turn raises the risk of hernias.

7. Regular collaboration with an ostomy nurse for fitting supportive garments and ongoing monitoring can make a big difference in managing hernias effectively.