This topic is about someone who has undergone a total colectomy and is now experiencing severe abdominal pain between their surgical scar and stoma. The pain is particularly intense when lying down, especially on the right side, and upon waking up in the morning. The person is worried about the cause of this pain and is seeking advice while waiting for a doctor's appointment.

Here are some helpful insights and advice:

1. If you experience severe pain after a colectomy, don't wait for a scheduled doctor's visit. Go directly to the emergency room, as this could indicate an obstruction, internal complication, popped stitch, or developing hernia.

2. When you arrive at the hospital, inform the triage staff that you have an ostomy that might be malfunctioning. Many hospitals prioritize ostomates for faster evaluation.

3. Be on the lookout for additional warning signs such as reduced or absent stoma output, unusual bleeding, significant changes in output consistency, or increasing pain. These could suggest a blockage or kink that requires urgent imaging like a CT scan or X-ray.

4. Be cautious with pain medications containing codeine, such as Panadeine Forte, as they can slow gut transit, harden stool, and potentially lead to blockages. Stay well-hydrated and monitor your output closely.

5. The pain might be due to a pulled or torn abdominal muscle or a popped internal stitch, especially if you've been lifting heavy objects or moving house. It's important to rest and avoid heavy activities.

6. To prevent a parastomal hernia, avoid heavy lifting and sudden twisting movements. If you plan to start exercising, do so under professional guidance.

7. If you notice bleeding at the stoma, first check if it's due to trauma from cleaning. Persistent or unexplained bleeding should be reviewed by a medical professional.

8. Emotional support is crucial. Don't just "grin and bear it." Seek help promptly, prioritize your health, and try to maintain a positive outlook.

Remember, it's important to take care of yourself and seek medical attention when needed.