Topic Explanation:
The forum topic is about a person who recently had a total proctolectomy and is experiencing stabbing gut pains at night, along with a sensation of a "phantom rectum" and gas-related issues. They are seeking advice and insights from others who have gone through similar experiences.

Advice and Insights:
- Many individuals have experienced similar symptoms after the surgery, such as phantom rectum sensations and gas-related issues.
- The gut pains and phantom feelings are attributed to the body adjusting to the new routine post-surgery, and they tend to subside with time.
- Following a low-residue diet and taking probiotics can help in managing gas and aiding the healing process.
- The size of the stoma reduces over time as the small intestines heal, making food passage easier.
- Nerve-related sensations and gas problems can persist for a while, and it's important to consult with a doctor for guidance.
- Gradually reintroducing pre-operation diet, along with exercise, can aid in the healing process and improve overall well-being.
- Phantom feelings and gas-related issues may persist for some time, and it's essential to adapt to the changes in the body post-surgery.