This topic is about someone who has been experiencing some concerning symptoms after having an ileal conduit surgery, which is a type of urinary stoma. They had this surgery back in April 2011, and a few months later, they developed three hernias. To address this, a large abdominal mesh was implanted. The person has a long history of surgeries, having undergone 37 operations, four of which involved large incisions. Recently, they have been experiencing some troubling symptoms, and they are worried about the possibility of mesh failure or a blockage.

Here are some helpful pieces of advice and insights for anyone in a similar situation:

1. If you experience severe pain, persistent nausea or vomiting, or new symptoms like night sweats, it's important to seek immediate emergency evaluation. These could be signs of a serious issue.

2. Some potential causes for these symptoms could include an intestinal or conduit blockage or muscle spasms.

3. While waiting to see a doctor, you might find some relief by:
- Switching to clear liquids such as broth, hot tea, or soups.
- Increasing your water intake to help flush your system.
- Using a heating pad to ease abdominal discomfort.

4. If you need to go to the hospital, consider choosing a university or teaching hospital, as they may have more specialized expertise in dealing with stomas and hernias.