Topic Explanation:
Hannah is experiencing constipation-like symptoms after taking Tramadol for abdominal pain with an ileostomy. She is unsure if constipation is possible with an ileostomy and seeks advice.

Advice and Insights:
- It is unlikely to experience constipation with an ileostomy, and symptoms may indicate a blockage.
- Black and liquid output could be a sign of a potential issue, and seeking medical attention is crucial, especially if it persists over the weekend.
- It's important to monitor output and seek help if there are significant changes, such as reduced or nonexistent output.
- Massaging the abdomen and drinking plenty of fluids may help in some cases, but if symptoms worsen, seeking emergency care is necessary.
- Narcotics like Tramadol can slow down ostomy output, causing symptoms similar to a bowel obstruction. Stopping the medication may help normalize output, but if symptoms persist, medical attention is required.
- It's important to seek medical attention promptly if there are concerns about ostomy output and abdominal symptoms, as it could indicate a serious issue like a bowel obstruction.

Outcome:
Hannah went to the emergency room and was admitted with a bowel obstruction, highlighting the importance of seeking medical help promptly in such situations.