Parastomal Hernia: Prevention, Symptoms, and Care Tips

After ostomy surgery, your body goes through many changes. One common issue many people face is a parastomal Hernia. While it might sound scary, understanding how to manage and prevent it can help you stay active and comfortable.

What is a Parastomal Hernia

A parastomal hernia happens when the belly muscles around your stoma get weak. This lets part of your insides (usually the bowel) push through, creating a bulge you can see or feel. Most people just call this a stoma hernia or an ostomy hernia.

According to NHS, around 20% of people with a stoma may develop a bulge consistent with this condition, and risk can increase with age and larger stomas.

Risk Factors of Parastomal Hernia

Research shows that about 38% of people get a parastomal hernia within five years of surgery. You might have a higher risk for a stoma hernia if you are over 60, have a higher body weight, or have high blood pressure.

In everyday terms, your risk of parastomal hernia tends to be higher if you have:

• Higher abdominal pressure (chronic cough, constipation/straining)
• Higher body weight (especially central weight)
• Weaker core musculature or slower post-op recovery
• A history of other hernias
  

Symptoms of Parastomal Hernia

Many people with a parastomal hernia have mild or no pain, especially early on. Common real-life signs include:

• A new bulge or “pouching out” around the stoma (more noticeable when standing)
• A “dragging” or “pulling” sensation
• Changes in body contour that make you feel “lopsided”
• More frequent pouch leaks or trouble getting the barrier to seal because the surface is no longer flat
  

Because a stoma hernia changes the shape under the adhesive, it can also cause friction from clothing and contribute to skin irritation.

How to Help Prevent Parastomal Hernia

You can do simple things to keep your belly muscles strong and lower the risk of a stoma hernia.

• Wear Support Clothing: A support belt or snug undershirt can help support your belly, especially when you’re active.
• Lift Safely: Avoid heavy lifting after surgery (like big grocery bags or heavy backpacks). Ask for help to protect the stoma area.
• Healthy Weight: Extra weight adds pressure to your belly. A healthy weight helps protect the muscles around your stoma.
• Gentle Exercise: Start with walking and light stretching. Ask your doctor or stoma nurse before trying new exercises.
  

Living with Parastomal Hernia

If you have already been diagnosed, most cases of parastomal hernia can be managed without surgery. Management tips include:

• Switching to Flexible Flanges: Use a more flexible ostomy system that can mold to the contours of the hernia bulge.
• Monitoring for Blockages: If you experience severe pain, vomiting, or a complete stop in stoma output, seek medical attention immediately.
• Regular Check-ups: Ensure your stoma nurse monitors the size of the hernia during your annual reviews.
  

Understanding what is a parastomal hernia is the first step toward proactive health management. While a parastomal hernia can be a setback, it doesn't have to stop you from living an active life. By using support wear, managing your weight, and following expert care tips, you can stay comfortable and confident.

FAQ

1. Is a stoma hernia common?
Yes! Many people get them. About half of the people with a stoma will see a stoma hernia at some point.

2. What are common parastomal hernia symptoms?
A bulge, a dragging feeling, and more leaks because the barrier seal is harder to maintain.

3. Can a parastomal hernia be cured without surgery?
A hernia is a physical defect in the muscle, so it won't heal on its own. However, many people live comfortably for years using support garments and proper care tips without ever needing surgical intervention.

4. Can I still play sports?
Yes! You just need to be careful. Wearing a support belt during sports can protect your stoma and hernia from getting worse.