Question: Should I go to the ER for painful phantom urges with my ileostomy?

Answer: Based on the forum discussions, the sensation of needing to have a bowel movement, often referred to as "phantom" urges, is a common experience among individuals with an ileostomy, especially when the rectum is still intact. This sensation can be due to mucus build-up in the rectal stump or residual sensations from the disconnected bowel. Here are some insights and advice from the discussions:

- Commonality and Duration: Many ileostomates experience these urges, which can persist for months or even years. The frequency and intensity often decrease over time.

- Relief Methods: Sitting on the toilet can sometimes help alleviate the sensation. Some people find relief through gentle pushing or waiting it out. Suppositories or enemas may be used to clear mucus build-up if applicable.

- Consultation: If the sensation is painful or persistent, it is advisable to consult with a healthcare provider, such as a stoma nurse or surgeon, to rule out complications like infection or inflammation.

- Pain and Pressure: Persistent pain or pressure, especially if it is severe, is not typical and should be evaluated by a medical professional. This could indicate other issues such as tenesmus or pelvic floor dysfunction.

- Avoiding NSAIDs: NSAIDs like ibuprofen can irritate the rectal area and should be used cautiously.

Given your symptoms of pain and pressure, it would be prudent to seek medical advice to ensure there are no underlying complications. While the ER may not be necessary immediately, contacting your healthcare provider for guidance is recommended.

Check out these links for more information:


← Back to all questions

Create Account
↑