This topic is about someone who has been living with a colostomy for five years and has recently started experiencing unexplained rectal pain, similar to hemorrhoid pain, for the past 18 months. They are looking for advice or shared experiences from others who might have faced something similar.

Here are some suggestions and insights that might be helpful:

1. It might be a good idea to consult with the surgeon again and discuss lifestyle factors. For instance, sitting for long periods, like during flights, can irritate a surgically closed rectum. Taking breaks to walk around or changing positions might help reduce the discomfort.

2. Consider the possibility of hemorrhoids, as they can still occur after a colostomy. There are many over-the-counter treatments and surgical options available. However, it's important to choose a surgeon carefully and ensure that more serious conditions are ruled out first.

3. Sensitivity from scar tissue and hard stools can also lead to post-surgical rectal pain. Some have found relief by using an osmotic stool softener, such as Miralax (polyethylene glycol 3350), on a daily basis, which helped eliminate their pain.

4. Keeping a sense of humor can be beneficial. Emotional resilience can be a great ally when dealing with chronic issues after an ostomy.