Topic Explanation:
The discussion revolves around a person who underwent emergency colon surgery resulting in a temporary ileostomy three months ago. Recently, the individual has been experiencing increased fatigue and stomach pain, which varies from sharp pains to soreness, resembling muscle ache. The concern is whether these symptoms are due to gas, as indicated by an overly inflated ostomy bag, or if they are part of the normal healing process. The person seeking advice is unsure and is looking for insights from others who might have experienced similar issues post-surgery.

Advice and Helpful Insights:
1. Seek Professional Medical Advice:
- It's recommended to consult with a healthcare provider to rule out any serious conditions or complications. This should be considered especially if the symptoms persist or worsen.

2. Managing Gas and Discomfort:
- Gas can cause significant discomfort and is a common issue for those with an ileostomy. Methods to manage gas include:
- Using an irrigation sleeve overnight to allow gas to exit the body.
- Opting for larger ostomy bags or those with vents.
- Modifying the diet to avoid gas-producing foods and beverages.
- Avoiding the use of straws, chewing gum, and ensuring food is chewed thoroughly.
- Over-the-counter remedies like Gas-X can be helpful.

3. Dietary Considerations:
- Monitoring and adjusting the diet is crucial as certain foods can lead to increased gas and discomfort. Keeping a food diary can help identify specific foods that trigger symptoms.

4. Understanding Common Post-Op Symptoms:
- Fatigue and abdominal pain can be common following surgery and might be influenced by various factors including diet, gas, and the body's adjustment to the surgery.
- Nighttime gas production is typical due to prolonged periods without eating.

5. Addressing Psychological Factors:
- Stress and anxiety can exacerbate gastrointestinal symptoms. Managing stress through relaxation techniques or counseling might be beneficial.

6. Observing Other Symptoms:
- If additional symptoms like shivering without fever occur, it could indicate other underlying issues such as a thyroid problem or an infection. These should be discussed with a healthcare provider.

7. Journaling for Symptom Tracking:
- Keeping a detailed journal of food intake, symptoms, and any other relevant health changes can be useful for both self-monitoring and discussions with healthcare providers.