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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain Around The Stoma?

I have had a colostomy bag for 3 years and have had no problems, no pain or no issues. I started peritoneal dialysis about a month ago and now i get pain around my stoma during the day went i have 2000 ml of fluid in my caveity. i also have noticed where the stoma is that it is bludging. Is this nomal?
Wed, 7 Jun 2017
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

This is very likely parastomal hernia and we as surgeons see this very commonly. It is important that the stoma continues to function regularly and normally. If the stoma stops working seek advice from a healthcare professional as an obstruction may have occurred and this will need immediate attention. First line treatment is to wear a firm stoma support garment. Although, most parastomal hernias do not require surgery. However, if the hernia is causing pain and/or becoming unmanageable, surgery can be considered.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein
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What Causes Pain Around The Stoma?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This is very likely parastomal hernia and we as surgeons see this very commonly. It is important that the stoma continues to function regularly and normally. If the stoma stops working seek advice from a healthcare professional as an obstruction may have occurred and this will need immediate attention. First line treatment is to wear a firm stoma support garment. Although, most parastomal hernias do not require surgery. However, if the hernia is causing pain and/or becoming unmanageable, surgery can be considered. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein