Topic Explanation:
The discussion centers around an individual from New Zealand who underwent an ileostomy 10 weeks ago due to ulcerative colitis (UC) that was unresponsive to medication. Post-surgery, they began experiencing joint pain in various areas, which their doctor attributed to residual UC in the anal stub. The individual seeks advice on managing this joint pain.

Advice and Insights:

1. UC and Joint Pain:
- Inflammation from UC can manifest as joint pain and skin issues, especially during flare-ups. Consulting a doctor to address inflammation and check for any remaining UC in the intestinal tract is advisable.

2. Medication and Management:
- Mesalazine suppositories and Voltaren tablets have been effective for some in managing joint pain and inflammation in the rectal stump.
- Prednisone is commonly used to manage UC and associated arthritis, but tapering off can lead to a resurgence of joint pain.

3. Vitamins and Supplements:
- Vitamins C, E, and cod liver oil may help alleviate joint pain, though they are not cures.
- Vitamins B, D, K, and magnesium are recommended to help with nutrient absorption and manage symptoms like leg jolts.

4. Personal Experiences:
- Some individuals have experienced joint pain and other symptoms even after a total colectomy, indicating that autoimmune issues may persist.
- The presence of a rectal stump can still cause flare-ups and joint pain, suggesting that inflammation may not be entirely eliminated by surgery.

5. General Advice:
- Staying hydrated and eating as healthily as possible, within dietary restrictions, is important.
- Researching and understanding the effects of prescribed drugs, vitamins, and over-the-counter medications is crucial, as some can cause joint pain.