This topic is about someone experiencing sharp abdominal pains, vomiting, and continuous watery ileostomy output about once a month. These episodes are sudden and can last from a few hours to a full day, sometimes resulting in significant weight loss and fatigue. The person is curious if these attacks might be linked to their menstrual cycle. Here are some insights and advice that might help:

1. It's important to seek medical evaluation. The rapid weight loss, repeated sharp pain, and watery output should be reviewed by a healthcare professional to rule out issues like small-bowel obstruction, ulcers, viruses, or scar tissue problems.

2. There might be a connection to menstruation. Hormonal changes during this time can affect output and cause cramping.

3. Consider possible causes and how to distinguish them:
- A temporary blockage might cause a period of no output, cramping, followed by a sudden watery "flush."
- An intestinal virus or food poisoning could lead to nonstop liquid output every 30–45 minutes, along with nausea and vomiting, usually resolving in 1–3 days.
- Gas build-up can occur from fast talking or swallowing air, creating painful gas pockets.
- Ulcers might cause pain shortly after eating, depending on their location.

4. Staying hydrated and replacing electrolytes is crucial. Use water and drinks like Gatorade or Pedialyte. If vomiting prevents oral intake, IV fluids might be necessary. Keep an eye on potassium levels during heavy losses.

5. Some medications and products that have helped others include:
- Imodium (loperamide) for high-volume watery output.
- Align probiotic for ongoing watery output.
- Anti-anxiety medications like Valium or lorazepam for gas-related pain.

6. To prevent blockages, chew food thoroughly, especially fibrous items like nuts, popcorn, celery, and corn. Mixing hard foods with others, like in a Chex Mix, can aid digestion.

7. Consider dietary changes:
- Try eliminating dairy, as milk intolerance can cause persistent watery output. Alternatives like almond milk and limiting yogurt, cheese, and ice cream might help.
- A bland, alkaline, low-sugar diet for 24–48 hours might resolve pain. Reintroduce foods systematically.
- Consider trying South American soursop fruit and other non-processed foods during healing.

8. If the rectum is still in place, normal rectal discharge can occur due to continued mucus production. Searching for "Rectal Discharge" threads might provide more information.

9. Diagnostic approaches include ultrasound or plain abdominal X-ray for suspected blockages, and gastroscopy or capsule camera for ulcers or other pathologies. Avoid CT scans unless necessary due to radiation exposure.

10. Alternative or adjunct suggestions include Traditional Chinese Medicine or acupuncture for persistent cramping when conventional tests are negative.