Recent ileostomy and passing stool from my rectum - worried

Hi folks,

I have had my ileostomy since February 2018. All has been going well. However, last night I awoke and my stoma bag was almost about to explode as it was full to maximum capacity (no pain and no other warning). I got to the bathroom and successfully emptied my bag. Then all of a sudden, for the very first time, I felt material coming out of my rectum and it was not the occasional mucosus but fecal matter. Not a great deal and all fumdamentally liquid. Can someone explain how  and or why it happend and how concerned should I be?

Thanks my friends.

my Doctor said its normal, as i pooped once  like it was still hooked up, then 4 months later i felt the urge again and pooped again.. She said it was normal..

Hi, ive had an ileostomy now since April, i never passed mucous or anything untill about 2 months after... then nothing again...however,  this morning i passed wind from my bottom a couple of times... ive read that this cant happen... but obviously it does.. is this normal? Has anyone else had this happen? 

Jabid wrote:

Hi Friends, First of all, I would like to say I am so glad that I found this site as it has answered some of my great concerns, particularly in regards to release of mucus. I had a permanent colostomy done on the 3rd of July, 2012. I am 25 years old, from a tiny island Republic of Fiji, where we certainly lag behind in medical infrastructure. My case is rare, if not, almost unknown here. I had to have my surgery done in India where I spent 6 months of long, gruesome and intensive treatment. After the surgery, I went through intensive chemoradiation, which was the hardest and most difficult part of the entire treatment. Nonetheless, I somehow managed to pull through and now life is carrying on, but not like as what it used to be. I find it so difficult to sustain myself especially with the increasing cost of sourcing the ostomy materials from overseas as we do not have them here. I have tried several brands and found out that Covatec's 2 piece system works the best for me. I also do irrigation and it helps a lot, especially, when I am at the office. One of the other and the major problem which I face is skin irritation around the stoma. It becomes so hard at times that it gets almost impossible for the wafer to stick on the skin and I have to heavily plaster it with adhesive bandages. I would very highly appreciate any suggestion/solutions for it. I thank you all for taking out your valuable time in reading my post. I hope to hear from you good people. Take care and keep up with your health. Regards Jabid PS: Please do not mind my English. English is a second language for me.

Geritrex Compound Benzoin Tinture will help heal the skin and also help the wafer stick to your skin, I was awful broken out and skin was so tender i could not stand a wafter on sometimes over 3 mins. As soon as i started using the above i   wore a wafer 2.5 days. now i'm fully healed and could get 9 days if i had to.. Once i ran short and after a bath my wafer came mainly off, i reglued it with the above product,  Good Luck,

Yes that is normal and i even had poop a few times the first 3.5 months, My dr. said it was normal..

Hi Warrior6391.  It sounds to me like you have a loop ileostomy and the pressure from the gas that built up in your pouch overnight may have entered the distal end and pushed some residual stool/mucus through your rectum.  In theory that's possible, however, I'm still new to the field and not sure if this is what happend.

The only products you should use for the care of the skin around your ostomy are:

I. warm water and a soft cloth

II. ostomy powder (which is really just ground up wafer).

III. no sting skin prep. http://www.smith-nephew.com/professional/products/advanced-wound-management/no-sting-skin-prep/

1. The first thing to do to help adhesion of the wafer is put your wafer under your armpit or behind your back to warm it to body temperature.  It really helps if your stoma size has stabilized and your are able to precut your wafer that way you can just quickly apply paste and stick it on.  This is not always possible with new stomas.

2. Warm water and a soft cloth should be used to cleanse the area around the stoma and remove any residual paste and/or stool. Ensure skin is dried thoroughly. DO NOT use soap or any other cleansing agents as they will irritate the skin unless instructed to do so by your enterostomal nurse or physician.

3. For any irritated skin (red, macerated) apply the ostomy powder and "dust" it all over the skin evenly coating it in a thin layer of powder.  It's perfectly safe to get ostomy powder on your stoma.

4. Next, while covering the stoma, spray all skin area that will be covered by wafer with no-sting skin prep spray (a little overspray on to the surrounding skin is ok and can be washed off when finished the process, but try to avoid spraying the stoma.

5. Repeat steps 3-4 one more time.

6. While the skin prep spray dries (approx 30 seconds), get your wafer ready by measuring (if necessary) and applying the paste seal/gasket around the opening in the wafer.

7. Next, apply your wafer and ostomy pouch to prevent stool from leaking out.  Then with your warm hand, apply pressure to the entire surface of the wafer and paste strip against your abdomen with moderate pressure.  The heat and pressure are what will help the wafer adhere to your skin.

Here's the thing with Ostomies, everyone develops their own techniques and honestly, sometimes they're very useful.  That's why I always ask my patients who have had an ostomy for a long time what they do, sometimes this is the best source of information.  So these steps may not be what you do, and that's ok.