This topic is about someone experiencing severe pain just above their ostomy baseplate whenever food moves through their system. The pain is so intense that it makes standing or walking impossible, but applying heat with a hot-water bottle provides some temporary relief. Here are some insights and advice shared by others:

1. It's important to consult a physician as soon as possible. Severe or worsening pain should be evaluated by a medical professional without delay.

2. The symptoms and relief from heat might suggest a partial obstruction. It's crucial to monitor your intake and output closely. If the output stops or the pain gets worse, seek urgent medical care.

3. The pain could be due to intestinal muscle spasms or cramps. Over-the-counter NSAIDs like ibuprofen might help when used alongside heat.

4. Consider whether the pain is due to trapped gas or food hang-ups. Since the pain is triggered by food and not relieved by passing gas, it might be worth asking your gastrointestinal team to check for strictures or kinks.

5. Don't overlook the possibility of a skin or peristomal infection. Severe pain can sometimes be caused by an infection beneath the surface that isn't visible externally. Check the skin around the area and request cultures or antibiotics if an infection is suspected.

6. It might also be helpful to investigate other potential causes such as issues with the gallbladder, bile ducts, adhesions, or inflammatory bowel flare-ups. Some people with similar pain have found these to be the underlying causes.