Hernias
Parastomal hernias
Parastomal hernias usually develop within the first couple of years after surgery but can also occur at any time during an ostomate’s life. For some ostomates it can be a mild inconvenience but for others it can develop into something more problematic and distressing, causing discomfort, pain and difficultly keeping their bag on.
Signs of a hernia include:
- A bulge around the stoma which can protrude even further when coughing straining or exercising
- Pain or discomfort during heavy lifting or coughing
- Changes in stoma output or function
- Bloating
- Pain or discomfort around the stoma
How to help reduce the risk of developing a hernia and how to stop them getting worse:
- Avoid heavy lifting, especially for a number of weeks after surgery
- Carry out any exercises you’ve been given from the hospital or stoma care nurse as they can help strengthen your stomach muscles
- Use a stoma support garment or belt for support during the daytime
- Hold a pillow on your stomach if you need to cough or sneeze
- Adopt a healthy lifestyle such as stopping smoking, eating healthily and ensuring your weight is within a healthy range
Surgery may be considered if a hernia is causing significant issues and cannot be helped with any of the above. The surgeon will usually use a mesh to support the repair and the stoma site can either be moved or stay where it is.
If you have noticed any bulging around your stoma, it’s important you don’t ignore this as hernias can often worsen over time. Speak to your stoma care nurse who will be able to offer the right advice and support for you.