Advice
Advice
The advice on this page covers general information about ostomy support and hernia prevention belts, and how to manage them. For individual advice, specific to your individual medical condition or circumstances, please speak to a healthcare professional. For tailored advice about ostomy and hernia support garments, please feel free to contact our team.
What is a hernia?
What is a hernia?
A hernia is a weakness or split in the muscle wall of the abdomen which allows the abdominal contents (usually some part of the intestine) to bulge out. The bulge is particularly noticeable upon tensing the abdominal wall muscles.
Stomas pose an additional problem. When a stoma is created, an incision is made into the muscles of the abdominal wall, and a hernia occurs when the edges of the stoma come away and can no longer be supported by the weakened muscles. This allows a section of bowel to protrude through and sit outside the abdomen but under the skin, causing it to bulge.
Surveys have reported that, over time, up to 70% of ostomates develop a parastomal hernia. The longer a stoma is present, the more likely it is that a hernia will occur. Hernias usually occur gradually and can increase over time if not supported. Many hernias are asymptomatic and cause no problems unless they get bigger.
For more information and advice about living with a stoma, visit UOAA.
What causes a parastomal hernia?
What causes a parastomal hernia?
Factors that can contribute to causing a stoma hernia to occur include coughing, being overweight or having developed an infection in the wound at the time the stoma was made.
The development of a stoma hernia is often gradual, with the area next to the stoma stretching and becoming weaker with the passage of time. This weakness, or gap, means that every time one strains, coughs, sneezes or stands up, the area of the abdomen next to the stoma bulges, or the whole stoma itself protrudes as it is pushed forwards by the rest of the abdominal contents behind it.
As with all hernias, the size will increase as time goes by. Stoma hernias are rarely painful but are usually uncomfortable and can become extremely inconvenient.
Some patients are more prone to hernias as a result of increased pressure in the abdomen pushing against weakened muscles.
High risk factors include:
• Obesity
• Chronic Respiratory Conditions
• Smoking
• Excessive coughing and sneezing
• Chronic constipation
• Extensive abdominal surgery
Certain factors during surgery can lead to an increased risk of developing a hernia such as emergency surgery or certain stoma sites. Unfortunately, these factors are beyond control.
How can a parastomal hernia be treated?
How can a parastomal hernia be treated?
First line treatment is to wear a stoma support garment. Additionally, exercise or pilates, aimed at strengthening the core muscles, may help.
Most parastomal hernias do not require surgery. However, if the hernia is causing pain and/or becoming unmanageable, surgery can be considered. As with all operations that require an anaesthetic there are associated risks. Surgery, therefore, may not be recommended for those who are elderly and infirm or those with serious heart or breathing problems.
Having a hernia repair does not guarantee it will not recur.
How can a hernia be avoided?
How can a hernia be avoided?
Most hernias can be managed conservatively without the need for further surgery.
The longer a stoma is present the greater the chance of a hernia developing. Lifestyle changes can help to reduce the likelihood of a hernia occurring.
• Maintain a healthy weight
• Stop smoking
• Take regular exercise such as walking or swimming
• Avoid activities that include heavy lifting
• Avoid coughing, sneezing and straining
• Support the stoma and wound when straining
• Avoid constipation
Wearing a support garment can also help to reduce the risk of a hernia developing. A well fitted garment will give support to enable you to continue your daily activities but will still enable your stoma to function properly.
Our support garments are available via our online shop.
If you develop a parastomal hernia you are recommended to contact your healthcare provider who will carry out an assessment.
What should I consider post surgery?
What should I consider post surgery?
You should avoid heavy lifting for 3 months post-surgery and try to maintain a good posture at all times.
Follow a healthy, balanced diet and exercise shortly after discharge, as long as any wounds have completely healed.
Support your stoma and abdomen when coughing, especially in the first few months post-surgery.
Regularly monitor your stoma to ensure it is functioning properly, and sleep on the opposite side to your stoma.
It is natural for our body shape to change over time, and if you find that your support garment no longer provides the required support or simply does not fit please contact us to arrange a specialist fitting appointment.
Understanding Ostomy Support Garments
When it comes to ostomy support garments, it’s important to know the different types available and how they can benefit you. From belts and wraps designed for stability to breathable underwear that ensures comfort, our guide will help you make an informed choice.
Understanding Ostomy Support Garments
When it comes to ostomy support garments, it’s important to know the different types available and how they can benefit you. From belts and wraps designed for stability to breathable underwear that ensures comfort, our guide will help you make an informed choice.
Key Considerations for Choosing Your Garment
- Type of Ostomy: Different ostomy types may require specific support garments. Whether you have a colostomy, ileostomy, or urostomy, understanding your needs is the first step in selecting the right product.
- Level of Support Needed: If you're at risk of hernias or managing existing ones, look for garments that offer firmer support. Alternatively, lighter support garments may be more suitable for everyday comfort.
- Activity Level: Consider how active you are. For those engaging in sports or physical activities, a firm support belt may provide the security needed to prevent leaks or shifting of the ostomy bag.
- Consult a Healthcare Professional: It’s always wise to consult with your healthcare provider for personalized advice tailored to your medical condition. They can recommend specific ostomy support garments based on your unique situation.
The Benefits of Choosing the Right Garment
Selecting the right ostomy support garment which matches your lifestyle and medical needs can significantly enhance your quality of life. With the right fit and support, you can manage your ostomy with confidence and enjoy everyday activities without worry.
Explore our range of ostomy support garments to find the perfect fit for your lifestyle and needs.
Ostomy Blog Posts
-
Debunking Common Ostomy Myths: Separating Fact from Fiction
Living with an ostomy can feel daunting, especially with the many myths surrounding it. In this blog, we tackle common...
-
Understanding Hernias and the Role of Ostomy Belts & Abdominal Support Devices
Living with an ostomy comes with its own set of challenges, and for many of us, hernia prevention can add...
-
Traveling with Confidence: Essential Tips for Ostomates
Traveling is an enriching experience that should never be off-limits for anyone, regardless of their medical condition. At Suportx, we're...