This topic is about someone who has had a permanent ileostomy for six years after being treated for colon cancer. They are used to occasional rectal mucus or discharge, but recently, they have noticed a significant amount of bright-red blood from the rectum. Although they feel well and stay active, this new symptom is concerning, and they are looking for advice.

Here are some helpful insights and advice:

1. It's important to seek medical attention immediately. Many people emphasize the need to contact a colorectal surgeon, oncologist, or general practitioner as soon as possible. Given the history of colon cancer, it's crucial to investigate early.

2. Being very active might worsen the bleeding. Some people have found that standing for long periods, doing heavy work, or being overly active can increase bright-red rectal bleeding. It might help to reduce activity levels temporarily until a doctor can be consulted.

3. There are experiences with topical treatments. For instance, someone with Crohn’s disease uses a daily steroid foam enema, which significantly reduces bleeding, although physical exertion can still cause it to flare up.

4. Diagnostic imaging might be necessary. In cases of severe rectal pain and bleeding, scheduling a CAT (CT) scan can help identify internal causes. This suggests that scans or scopes might be part of the diagnostic process.

5. Keep an eye on any additional symptoms, such as severe rectal pain or abdominal itching and bleeding. It's important to seek prompt medical care, as issues related to an ostomy can develop quickly.