This topic is about someone who, four weeks after having a colostomy and while still using a urinary catheter, is experiencing sharp lower-abdominal spasms. These spasms come with a strong urge to both defecate and urinate at the same time. The person is reaching out to see if others have experienced something similar.

Here are some helpful insights and advice:

1. It's important to contact your surgeon, general practitioner, or stoma nurse as soon as possible to:
- Check for any post-operative infections.
- Evaluate if the placement or duration of the catheter might be causing bladder spasms, especially since one person mentioned that having a catheter for four months seems long.
- Discuss the possibility of using medication specifically designed to relieve bladder spasms if needed.

2. It is normal to pass a small amount of stool or mucus from the rectum shortly after a colostomy. This could just be leftover material being cleared out.

3. If you experience severe or ongoing abdominal pain after a colostomy, it might be due to constipation. In such cases, imaging tests like an MRI might be necessary to confirm the cause.

4. If the abdominal pain or cramping becomes more intense, it is crucial to seek medical attention immediately.