This topic is about a concerning situation where a woman with an ileostomy is experiencing liquid stool passing through her vagina, along with lower abdominal pain. This is understandably distressing, and here are some important points to consider:

1. It is crucial to seek immediate medical attention. Contact your surgeon or gastrointestinal specialist as soon as possible, or go directly to the emergency room. Waiting, especially over a weekend, could be dangerous.

2. A possible cause for these symptoms is a rectovaginal fistula. This is an abnormal connection between the rectum (or remaining bowel) and the vagina, which can allow stool to pass through the vaginal canal and often results in pain.

3. Treatment usually involves a thorough evaluation by a doctor. Surgical repair might be necessary, although sometimes a more conservative approach, like allowing the area to rest, is tried first. However, this should only be done under the guidance of a healthcare professional.