Topic Explanation:
The forum topic is about a person who has been experiencing intermittent, occasional pain to the right of their ileostomy, which has worsened over time. The pain is described as knife-like and hurts with any movement. The individual is seeking advice and suggestions from others who may have experienced similar issues related to scar tissue or other potential causes.

Advice and Insights:
- Taking Vitamin E (1000 IU/day) may help with scar tissue, but it's important to check with a doctor first, and to use the natural form of Vitamin E (d-alphatocopherol).
- Scar tissue and adhesions can develop after abdominal surgery, leading to pain and potential complications like hernias or intestinal twisting.
- It's suggested to consider further tests, such as a scope examination or investigative tests, to identify the cause of the pain and potential issues like hernias or adhesions.
- Seeking referral to a GI specialist for further evaluation and potential investigative procedures is recommended.
- It's important to monitor the output from the ostomy and seek medical attention if there are changes, as it could indicate a more serious issue.
- Some individuals have found relief from pain through nerve block procedures performed by a specialist in physiatry and interventional pain management.
- There is a new material that can help prevent adhesions, which can be applied over the surgical area before closing the skin.

Conclusion:
The forum discussion provides valuable insights and advice for managing and addressing the pain related to scar tissue or potential complications after ileostomy surgery. It emphasizes the importance of seeking medical evaluation, considering investigative tests, and exploring potential treatment options such as nerve blocks and preventive materials for adhesions.