Which sign may indicate a peristomal hernia and may include stoma measurements increasing?

Which sign may indicate a peristomal hernia and may include stoma measurements increasing?

• A. Stoma measurements may increase
• B. Pain
• C. Ulceration around stoma
• D. Bleeding from stoma

Answer: (A)

A peristomal hernia shows up as a bulge around the stoma due to abdominal contents pushing through a weakness in the abdominal wall near the stoma. As the hernia grows, it can distort the stomal opening and make the measured size of the stoma increase. This change in stoma measurements is a practical sign that the fit of the appliance may be affected and that a hernia could be present. Pain, ulceration around the stoma, or bleeding can occur with other stoma problems, but they are not as specifically associated with a peristomal hernia as a growing stoma opening is. If increasing measurements are observed, it warrants clinical assessment and appropriate management.

A peristomal hernia shows up as a bulge around the stoma due to abdominal contents pushing through a weakness in the abdominal wall near the stoma. As the hernia grows, it can distort the stomal opening and make the measured size of the stoma increase. This change in stoma measurements is a practical sign that the fit of the appliance may be affected and that a hernia could be present. Pain, ulceration around the stoma, or bleeding can occur with other stoma problems, but they are not as specifically associated with a peristomal hernia as a growing stoma opening is. If increasing measurements are observed, it warrants clinical assessment and appropriate management.