This topic is about a person experiencing sudden and severe pain around their stoma, along with noticeable swelling and an unusual output described as "black water." They suspect it might be a blockage and are seeking advice on how to address it, including considering a stoma enema with soapy water. Here are some insights and advice shared by others:

1. Seek immediate professional care:
- Many people emphasize that "black water" could indicate old blood, and the combination of pain, swelling, and unusual output needs urgent evaluation by a surgeon or at an emergency department.
- It's important not to attempt self-irrigation or enemas before getting a medical assessment.

2. Do not assume the worst and stay hopeful:
- It's crucial to remember that only physicians can provide accurate prognoses. It's encouraged to wait for the scheduled follow-up and maintain hope.

3. Possible benign causes of dark liquid output:
- Sometimes, dark, loose stool can be caused by certain foods or drinks, such as strong coffee or Pepsi.
- Eating binding foods might help normalize output for some individuals.

4. Comfort and symptom-relief measures (after medical clearance):
- Applying gentle heat, like using a heating pad or taking a warm bath, can help ease abdominal discomfort.
- Staying well-hydrated by drinking plenty of water is also advised.

5. Peer reassurance:
- Others share their personal experiences with similar symptoms and serious cardiac history to show that recovery and a good quality of life are still possible for those with ostomies.