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Dec 17, 2017

Need advice for recurring stomach cramps, please help!

This topic is about someone experiencing recurring stoma cramps and trapped gas after eating potato soup. They are a few weeks into recovery and have noticed severe stomach cramps every 5–7 minutes after consuming the soup. They suspect the pain is due to gas that cannot escape because the stoma isn't opening properly, although liquids are still passing through. The pain follows a pattern, rising and falling like a bell curve, and eases if the gas is released but worsens if it isn't. They have been managing the situation with various self-care methods and are happy to have avoided a trip to the emergency room for over a month. Here are some insights and advice shared:

1. Current self-care includes using a heating pad and drinking peppermint tea, following a relief checklist that involves medication and hot baths.

2. The medication protocol involves:
- 4 teaspoons of children’s liquid ibuprofen
- 10 mg of Compazine
- If necessary, 5 mg of oxycodone with a prescribed anti-nausea drug, though there's a risk of an allergic reaction
- A second dose is taken after a waiting period, with a visit to the ER if there's no relief
- Fennel tea has also been found to provide significant relief

3. For gas relief, consider:
- Taking over-the-counter Extra Strength Gas-X
- Sipping plain hot boiled water or fennel/peppermint tea to help ease gas

4. Physical techniques to help release trapped gas include:
- Gently massaging the area around the stoma
- Sitting and leaning forward or bending at the waist to encourage gas movement
- Soaking in a warm bath

5. For those using Coloplast pouches, manage the pouch/vent by closing the integrated vent with the small white tabs to reduce internal vacuum, allowing stool and gas to flow more freely.

6. Be mindful of dietary triggers, as large amounts of vegetables, beans, and onions can cause gas. Consider limiting or temporarily eliminating these foods.

7. Be cautious with medication, as oxycodone can lead to constipation, which can be difficult to manage. Discuss alternatives or strategies with your physician.
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