Living with a stoma can be challenging, and one of the most common complications is a parastomal hernia. This happens when a section of the intestine protrudes through the abdominal muscles and pushes against the skin around the stoma. While this condition is often associated with physical discomfort and cosmetic concerns, it can also lead to other health problems, including back pain. For individuals who have a parastomal hernia, the pain can be disabling and impact their quality of life significantly.
The relationship between a parastomal hernia and back pain is still not fully understood, and many people wonder whether there is a connection. This begs the question: can a parastomal hernia cause back pain? In this blog post, we will explore this topic in-depth and provide you with the most up-to-date information on the subject. We will look at the causes, symptoms, and risk factors associated with a parastomal hernia and its relation to back pain. We will also discuss
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- 1 Health and Rehabilitation Sciences Research Institute, School of Health Sciences, University of Ulster, Newtownabbey, UK i. wilson@ulster. ac. uk.
- 1 Health and Rehabilitation Sciences Research Institute, School of Health Sciences, University of Ulster, Newtownabbey, UK i. wilson@ulster. ac. uk.
Goal: Stoma patients think there is a connection between their surgery and low back pain (LBP).
Goal: To investigate factors that may affect (i) core stability in individuals with stomas and LBP, as well as (ii) biopsychosocial factors associated with LBP.
Methods: Adults with ileostomies and LBP (n = 17) underwent clinical exams, an ultrasound scan of the right and left transversus abdominis (TrA), and a variety of standard instruments.
Results: RMDQ: median = 12 (IQR: 9) The findings indicated moderate pain and disability. 5-13), EQ-5D health state: mean = 6. 9 (±1. 75), BPI pain severity: median = 4. 5 (IQR: 2. 87-5. 4). The presence of a parastomal hernia and less control for BKFO on the operated side were both factors that contributed to the TrA contraction being less on the operated side than the unoperated side. Co-morbidities were linked to more balance issues when performing the stork test (p 05). Men had more fear avoidance (p < 0. 05) on the FABQ regarding physical activity.
Discussion: After stoma surgery, abdominal function may be affected, which may limit one’s ability to perform functional tasks and possibly increase one’s risk of back pain. As a result of the small sample size, these results should be interpreted with caution.
- Stomach in a parastomal hernia: a rare complication of stomas. Ekowo OE, Al Midani A, Abdulaal Y, Boshnaq M. Ekowo OE, et al. BMJ Case Rep. 2020 Aug 18;13(8):e234325. doi: 10. 1136/bcr-2020-234325. BMJ Case Rep. 2020. PMID: 32816928 Free PMC article.
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FAQ
Can stoma hernia cause back pain?
Goal: Low back pain (LBP) is a significant health issue in western culture. The abdominal muscles’ ability to function may be hampered by stoma surgery, which involves making a permanent opening in the abdominal wall. Consequently, having a stoma may increase a person’s risk of getting LBP.
What kind of hernia causes back pain?
Patients with a flank hernia frequently report the following symptoms: An abdominal bulge on one side or the other Back pain around the area of the bulge.
What are the side effects of a Parastomal hernia?
In addition to causing pain and discomfort, parastomal hernias can lead to skin irritation and leakage of your ostomy appliance. The risk of getting a parastomal hernia is highest in the first few years following stoma surgery, but it can happen up to 40 years later.
What are the symptoms of a strangulated Parastomal hernia?
…
What are the symptoms of a parastomal hernia?
- sudden severe pain.
- vomiting.
- If the hernia usually can be pushed back in, it becomes firm, tender, or immovable.
- difficulty passing stools or wind.
What does Parastomal hernia pain feel like?
A parastomal hernia may cause some abdominal discomfort. People may experience a heavy weight or feeling of fullness in the parastomal area that is not painful but uncomfortable.
Can a blocked stoma cause back pain?
People who have undergone stoma surgery have a permanent defect in their abdominal wall, which may increase their risk of developing low back pain.
Can Hernia lead to back pain & flatulence? – Dr. Nanda Rajaneesh
Reference:
https://pubmed.ncbi.nlm.nih.gov/22087817/
https://badgut.org/information-centre/ostomies/parastomal-hernias/