This topic is about someone experiencing sudden and severe abdominal spasms, especially during activities like working out or coughing. These spasms are so intense that they can bring the person to their knees. The abdominal area feels tight and hard for a short period before relaxing. These episodes often happen when there is little or no output from their colostomy. The person is unsure of the cause but is seeking possible explanations and solutions.

Here are some helpful insights and advice from others:

1. Hidden or reducible parastomal hernia: It's possible to have a hernia without a visible bulge. Certain actions like coughing or specific positions might trigger sharp pain.

2. Partial blockage or backup: Having low or no output for a day or two can lead to severe abdominal pain. The pain often subsides once the blockage clears and output resumes.

3. Gas buildup: Trapped gas can cause intermittent abdominal pain, which usually resolves once the gas is released.

4. Positioning for relief: Lying down might help reduce pain during a suspected blockage, while bending or sitting could make it worse.

5. Symptom severity is atypical: Pain that is intense enough to bring someone to their knees is not normal, and it's advised to seek professional evaluation.

6. Consult professionals: It's recommended to contact an ostomy nurse or healthcare provider to rule out a hernia, obstruction, or other complications.

7. Sneezing or coughing precautions: Supporting the stoma area when sneezing can help minimize stabbing pain.