This topic is about someone who has been living with an ileostomy for nearly a decade and is currently facing some challenges. Recently, they have noticed their stoma retracting beneath the baseplate, especially during bowel movements, which is causing sharp pain. They are also experiencing inconsistent output, swinging between constipation and very watery discharge. While hot packs offer some temporary relief, they are seeking advice on whether using a laxative is safe and how to manage the pain and irregular output.

Here are some helpful suggestions and insights shared by others:

1. Hydration and Gentle Activity
- Drink plenty of fluids like water, teas, or sports drinks such as Gatorade. Staying lightly active, such as taking walks, can help move a partial blockage.

2. Diet Adjustments
- If you suspect a blockage, try switching to liquids or soft foods like soups and juices temporarily.
- Pay attention to foods that might be causing issues, such as nuts, and try to avoid them.

3. "Trigger" Foods for Relief
- Some people find that small amounts of ice cream or milk, including chocolate milk, can help provoke output. This is especially noted by those who are lactose-intolerant.

4. Laxative Guidance
- One person mentioned their doctor allowed them to use a gentle Senna laxative for colostomy-related constipation. However, it's important to check with your own healthcare provider to ensure it's safe for you, as liquid output can still occur even if there's a solid blockage.

5. Professional Evaluation
- It's important to see a stoma nurse, surgeon, or general practitioner promptly. Continued retraction, sharp pain, and mixed-consistency output could indicate a blockage or other complication that needs medical attention.

6. Community Support Note
- While response times on forums can vary, members encourage patience and assure that support is available.