This topic is about dealing with abdominal pain and cramps after colorectal surgery, particularly when you have a permanent stoma. It explores whether these sensations are a normal part of healing or if they might be due to adhesions, which are bands of scar tissue that can form after surgery.

Here are some helpful insights and advice:

1. The person experiencing these symptoms is over a year post-surgery and still feels sharp pains and cramps, especially when bending or lifting. They are seeking to understand if this is normal or if it requires medical attention.

2. A CT scan is scheduled, and a follow-up appointment with the surgeon is planned. They are concerned about whether the condition could worsen without further surgery.

3. Past experiences include nerve-type pain at former drain sites and a "tearing" sensation at the perineal wound.

4. Many people suggest that post-surgical adhesions are a common cause of such pain. Adhesions can form when the intestines are handled during surgery, causing them to stick to each other or the abdominal wall, leading to pain during movement or straining.

5. CT scans often miss adhesions because they lack blood supply. It's important to discuss with the surgeon and radiologist whether the CT will identify adhesions and if not, what other imaging might be more effective. Changing positions during the CT might help show restricted bowel movement.

6. For those with conditions like Crohn’s disease, adhesions can worsen and lead to complications. Without underlying disease, existing adhesions usually remain the same, though new ones can form.

7. If adhesions cause severe symptoms, laparoscopic surgery might be considered, but it carries the risk of creating more adhesions. Many people manage with residual soreness and use pain medication as needed.

8. Diet can play a role in cramps after bowel resection. Gas-forming or high-fiber foods might aggravate pain, so adjusting your diet through trial and error can help.

9. A weak abdominal wall or incisional hernia can add to discomfort during lifting or exercise. Using abdominal support garments or limiting heavy lifting can reduce strain.

10. Long-term experiences vary widely. Some people have mild soreness years after surgery, while others may need repeat surgery for complications like strangulated bowel. Some manage pain without further surgery.

11. The general advice is to continue with planned imaging, discuss the possibility of adhesions with your healthcare team, consider other potential causes, and share your experiences with others for mutual support.