This topic is about dealing with constipation and pain after having a loop ileostomy, especially when it feels like nothing is moving. The person sharing their experience has been through quite a journey with their ostomy and is seeking advice on how to relieve a blockage that has become quite painful.

Here are some helpful insights and advice based on their experience:

1. If you're experiencing severe constipation or impaction, it's important to get an immediate assessment by a surgeon or a gastrointestinal specialist. An abdominal X-ray can help determine if there is a true fecal impaction, which can be dangerous if not addressed.

2. Even with a diverted colon or rectum, mucus production continues. Sometimes, hard mucus balls can form and mimic stool, causing discomfort and pain.

3. In some cases, excess mucus or hard stool may need to be removed endoscopically. Additionally, strictures at the anastomosis or hypersensitive nerves can create a constant urge to pass stool.

4. Avoid inserting enemas or suppositories without the approval of a physician, as there is a risk of damaging a fresh anastomosis.

5. If you experience worsening pain, the passage of true stool, or signs of obstruction or ileus, it's important to visit the emergency room.

6. Be aware that residual barium from contrast studies can solidify. If a barium enema is used, it must be flushed out promptly, as hardened barium can behave like concrete and may require surgical removal.

7. In hospital settings, stool softeners or laxatives might be prescribed automatically. If you have an ileostomy, it's important to question these orders unless a doctor confirms their necessity.

The person in this story tried several self-treatments, including different types of enemas, but found relief only after medical intervention. They were advised to use regular laxatives, although they were unsure about this advice. After the removal of a hardened mass, which turned out to be residual barium, they began to feel better and started passing small amounts of stool and mucus regularly.