Living with a stoma

A parastomal hernia is where part of the bowel pushes through the stomach muscles. This creates a swelling under the skin around the stoma which can cause discomfort and pain.

What products can I use if I have a parastomal hernia?

Having a hernia may mean that the area around your stoma is not as flat as it used to be. This may make it more difficult to get your stoma bag to stick properly and stay in place. There are a few different products you can use to help with this.

Flange extenders Like HydroFrame and UltraFrame can help the stoma bag stay in place. The plus-shaped flange on the Aura Plus stoma bags can help shape it to uneven skin. There are also stoma hernia support garments that can help you feel more comfortable.

A prolapsed stoma is when part of the bowel comes out of the stoma opening. This may make your stoma longer or wider, but it is not usually painful. Prolapsed stoma can happen for various reasons. Like the stomach muscles becoming weaker, sudden strain from lifting, or pregnancy. The best way to reduce the risk of this is to strengthen your stomach muscles through exercise.

What should I do if I have a prolapsed stoma?

Prolapsed stomas are not usually serious. But you should always contact your Stoma Care Nurse or GP if you think you have one. Your stoma may become wider because of the prolapse. This may mean you need your stoma bag cut to a different size. If you’re worried about ballooning and odour you may want to try a stoma bag with a filter like our Aura Plus range.

A retracted stoma is when the stoma sinks below the level of the skin rather than sticking out. This isn’t usually serious but it can cause problems like leakage. A retracted stoma can be easily managed with the right products.

What should I do if my stoma retracts?

If you think your stoma has retracted you can speak to your Stoma Care Nurse. They’ll be able to advise you on what products you can use to manage your stoma.

Pancaking can happen with a colostomy or occasionally with an ileostomy. It happens when the two sides of the stoma bag stick together. This causes a vacuum, preventing the contents from dropping to the bottom. The stuck contents can potentially block the filter, leading to the bag being forced off the body.

How can I prevent pancaking?

Try one of the following tips to prevent pancaking. If you’re still getting problems with pancaking, speak to a stoma nurse.

• Blow air into the stoma bag before you put it on.
• Try a piece of rolled up toilet paper or cotton wool, placed inside the pouch before you put it on.
• Apply a drop of oil or mild soap through the pouch opening. Make sure it comes into contact with the material inside the pouch on the opposite side. This can help any contents slide to the bottom.

Sore skin around the stoma can be a very common issue, but it is also easily treated. The skin around your stoma should look like the skin on the rest of your body. If your skin is red, hot, broken, or damaged then it’s likely you have sore skin and irritation.

What causes sore skin around the stoma?

There are many reasons the skin around your stoma could be sore, one of the most common is an ill-fitting stoma pouch. This may be due to you having the wrong size hole in the flange. If the hole is too big it allows your waste to come into contact with the skin, or worse seep underneath the flange.

Another issue could be the type or size of flange. The flange is the part of the pouch with the adhesive plate which encounters the skin. Most stoma bags use a hydrocolloid flange, some silicone but all have unique compounds. Some of these can aid skin health. However, some people may find the adhesive too tacky or they may have a mild allergy to the ingredients used. We use a basic formula without additives, to prevent irritation. Plus, we include medical-grade manuka honey, which may help to promote healthy skin.