The first decision will be whether the hernia can be reduced with support garments such as a hernia belt. The type of support garment is dependent on the size of the hernia and your pouching preferences. Your STN will assess what type of support garment is suitable for you.

	Hernia Belts Come in many widths and configurations; the width depends on the shape of the abdomen.
	Control Top Undergarment These type of support garments may cover the stoma pouch. Many people worry that garments like these may prevent stool from exiting the stoma. As long as the garments do not rub the stoma and cause bleeding, they may be worn.

Your STN will need to assess your abdomen and hernia in sitting and standing positions when assessing for a suitable and reliable product. 

Some people with a colostomy and parastomal hernia may notice their stoma output is more erratic than it used to be.

It may be useful to review your diet and eating habits whilst you have a hernia as some foods cause diarrhoea, increased gas or stoma dysfunction. 

It is generally advised not to irrigate your stoma if you have a hernia. It is best to discuss your management options with your STN.

If the hernia continues to increase in size, making it difficult to get a secure fit of your pouch, maintain healthy peristomal skin or you feel that your quality of life is compromised because of the size of the hernia, discuss what options may be available for you with your STN.