This topic is about someone who has been living with a colostomy for nine years and is now experiencing severe abdominal cramping and bleeding from the stoma for the first time. They are looking for advice on what to do.

Here are some helpful insights and advice:

1. Bleeding from inside the stoma can be serious, so it's important to seek medical evaluation right away to find out what's causing it.

2. Pay attention to the color of the blood. Bright red blood might mean there's a local injury near the stoma, while dark or black blood could indicate bleeding higher up in the gastrointestinal tract, like from an ulcer.

3. Severe cramping might be due to trapped gas. Sometimes, gently moving around or changing positions can help release the gas and ease the pain.

4. Cramping could also be related to a tendency for muscle cramps elsewhere in the body. While this can be uncomfortable, it might resolve on its own.

5. If you're unsure, it's always best to get a professional medical assessment, especially when experiencing new symptoms like internal bleeding.