This topic is about someone who experienced a severe first menstruation after having a section of their colon removed and undergoing an emergency ileostomy. After not having a period for four months, they finally had one, which was quite intense and came with several uncomfortable symptoms. They are curious if such an experience is normal after surgery and are seeking advice or similar experiences from others.

Here are some helpful insights and advice:

1. If you experience severe pain, it's important to seek immediate medical evaluation. After surgery, adhesions can form, and the contractions during menstruation might pull on these adhesions, leading to acute pain.

2. If you notice significant swelling, distention, or pain that feels like an intestinal blockage, don't assume it's just regular menstrual cramping. It's crucial to have a clinician rule out any surgical complications.

3. When experiencing concerning symptoms, consider posting with a clear and urgent title, such as "I'm in pain," to attract quicker responses from peers who might have similar experiences or advice.