This topic is about managing severe pain after undergoing a stoma revision surgery. The person who shared their experience had a procedure to address issues with their stoma, which was receding and very narrow. After the surgery, they are experiencing significant pain and are finding that their current pain medication is not providing much relief. Here are some helpful suggestions and insights for managing this situation:

1. Seek professional help immediately. It's important to arrange an appointment with a WOC (Wound, Ostomy & Continence) nurse or surgeon. They can inspect the sutures, assess the lopsided stoma, and ensure the appliance is sized correctly.

2. Pain control is crucial. If the current medication is not effective, contact the hospital or surgeon to discuss stronger or alternative pain relief options.

3. Proper convexity is critical for stoma management.
- A deep convex flange or convex wafer can help keep a retracted stoma protruded.
- The depth of the convexity and the hole diameter must match the stoma. If it's too deep, it can cause pain; if too shallow, it won't lift the stoma effectively. A nurse should verify the fit.

4. Rest and protect the surgical site. Avoid lifting and strenuous activities until the abdomen and sutures are fully healed to prevent further pulling or damage.

5. Be assertive with the medical team. Ask questions about every intervention, clarify the long-term benefits, and don't hesitate to return for follow-up if there are issues with healing or the appliance.

6. Monitor the stoma and surrounding skin closely. Report any increasing pain, distortion, or skin damage right away so it can be addressed before becoming a chronic problem.