Hi all, I've had a Jpouch since 1992 and been carrying a small bulge - hernia? - the size of a dime (see picture below) for at least the last 10 years...It grew just an inch to the right of the stoma (I had an external PO h for 6 months) and seems to only slightly change position from time to time but never grew bigger. Sometimes it feels harder and a bit uncomfortable if not painful - especially if I lose weight - like during my field season... - but pain goes away within a few days each time...

Now, about a week ago, the bulge started acting again - likely after a serious workout moving- lifting tree logs 3 days in a row - and two things I've noticed were the fact that the pain didn't go away for a week now (but did decrease somehow) and secondly, the skin on top of the bulge turned bright red and is really sensitive to the touch. It was really hard last week and now it a bit softer and almost feels like pus trapped inside...like some sort of infection developped where the bulge is located.

Is this a peristomal hernia and should I be worried about it? What - besides a surgery - can possibly be done or should I just continue living with it?