This topic is about someone who has had a colostomy for seven years and is concerned about not having a bowel movement for over five days, which is unusual for them. They are worried about a possible blockage but are unsure whether to seek immediate medical help or wait for an irrigation kit they ordered. Here are some pieces of advice and insights shared by others:

1. Seek prompt medical evaluation:
- Several people strongly recommend going to the emergency room or contacting a healthcare professional immediately rather than waiting.
- One person suggested using an online patient-provider messaging system like MyChart to ask questions without incurring a co-pay.

2. Consider irrigation as a routine:
- Some people find that regular irrigation can help clear minor blockages and provide peace of mind, even if only water returns.
- It’s advised not to wait for the new irrigation kit if a blockage is suspected; seek professional help first and then consider incorporating irrigation into your routine.

3. Monitor diet and fiber intake:
- Reflect on recent food choices that might have affected stool consistency.
- One person mentioned using Metamucil occasionally to help balance their diet and bowel movements.

4. Remember that pain is not the only indicator:
- Even if there is little or no pain, it doesn’t mean there isn’t a problem. It’s important to get a proper diagnosis to be sure.