Question: After ileostomy surgery, does the urge to have a bowel movement from the rectum go away?

Answer: The discussions indicate that after an ileostomy, it is common for individuals to experience a sensation of needing to have a bowel movement, even if the rectum is no longer in use. This can be due to mucus build-up in the rectal stump or phantom sensations if the rectum has been removed ("Ken butt" surgery). Over time, these sensations often decrease in frequency and intensity. However, some people may continue to experience them for years. If the rectum is still present, mucus discharge can occur, and the urge may persist. If the rectum has been removed, the sensation might be a phantom urge. It is generally advised to consult with a healthcare provider if the sensations are bothersome or if there are any concerning symptoms such as pain or bleeding.

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