This topic is about managing ongoing pain and severe diarrhea after having several surgeries, including an ileostomy, gallbladder removal, and a total proctocolectomy. The person is dealing with persistent pain near the stoma and severe diarrhea, which is causing significant discomfort and concern. Here are some helpful insights and advice for managing these issues:

1. If you experience constant severe pain and high-volume diarrhea, it's important to go to the emergency department right away. Delaying treatment can lead to dehydration and other complications.

2. Request a thorough diagnostic work-up, such as a CT scan of the abdominal and stoma area, along with comprehensive bloodwork. Persistent pain is not normal and should be investigated to find the cause.

3. With the removal of the entire colon and some of the small bowel, it's expected that intestinal transit will be faster. Taking 8 Lomotil tablets a day is not unusually high in this situation.

4. Since the gallbladder has been removed, it's important to limit dietary fat. Consuming too much fat can increase the speed of output.

5. Learn about optimal hydration strategies, such as using oral rehydration solutions, and adjust your diet to accommodate the shortened bowel length. Making successful dietary changes might reduce or even eliminate the need for motility drugs.

6. Consider seeking a true second opinion from another specialist who can conduct an independent evaluation, rather than just reviewing existing medical records.