This topic is about experiencing a persistent brown discharge from the rectum and discomfort after having a stoma. The person is concerned about whether this is normal and is seeking advice from others who might have had similar experiences.

Here are some helpful insights and advice:

1. It is common to have rectal mucus discharge after a colostomy or ileostomy. The color and consistency can vary depending on how long it stays in the rectal stump and any leftover blood from surgery.

2. The pain you feel might be related to the amount of mucus present. If the pain is persistent or severe, it’s important to talk to a stoma nurse or doctor.

3. To manage the discharge:
- Consider using incontinence pads, and adding a folded tissue can help absorb watery mucus.
- Clean the rectal stump with warm water using an empty enema-style squeeze bottle while showering to reduce blood content and irritation.
- Gentle anal irrigation can help clear large mucus build-ups, but it carries a risk of bowel injury, so many clinicians do not recommend it routinely.

4. A suppository prescribed by a consultant can help loosen and pass built-up solid mucus within an hour and may keep symptoms away for weeks.

5. If the discharge becomes infected, antibiotics might be necessary, although their effectiveness can decrease over time.

6. A surgical option called proctectomy, or "Barbie-Butt" surgery, removes the rectal stump and stops discharge completely. This can eliminate pain and infections but is a major operation with its own risks.

7. The rectal stump is often left in place because:
- Surgeons might hope for a future reconnection of the bowel.
- Proctectomy is a more extensive procedure with higher complication rates.

8. People who have undergone proctectomy often report high satisfaction and minimal post-operative issues. It’s important to consult with a surgeon and ask thorough questions before making a decision.