This topic is about the connection between urinary tract infections (UTIs) and rectal discharge for people with an ostomy. The person sharing their experience is dealing with frequent UTIs and is curious if bacteria from the end of the pouch or rectal-stump discharge could be the cause. They are reaching out to other women with ostomies to see if they have similar issues.

Here are some insights and advice shared on the topic:

- Bacteria from rectal discharge, especially from a rectal stump, can indeed reach the urethra and cause UTIs. Contamination from the end of the pouch is less common but still possible.

- For managing recurrent UTIs:
1. Doctors often prescribe repeat or extended-duration antibiotics for chronic cases.
2. Mild UTIs might clear up in a few days with the help of paracetamol, warmth (like a hot-water bottle), rest, and drinking plenty of fluids.

- Preventive hygiene tips include:
1. Wipe from front to back.
2. Fully empty your bladder when urinating.
3. Drink plenty of fluids.
4. Opt for showers instead of baths.
5. Wear loose cotton underwear.
6. Urinate soon after sexual activity.
7. Avoid perfumed soaps, talc, tight synthetic underwear or jeans, holding urine, and spermicidal lubricants on condoms or diaphragms.

- Natural or over-the-counter options that might help:
1. D-mannose supplements.
2. Cranberry juice, tablets, or chewables (be mindful of sugar content).
3. Probiotic products containing Lactobacillus.

- Ostomy-specific hygiene tips:
1. Use sanitizing wipes or baby wipes to clean the pouch outlet or clamp after emptying.
2. Regularly wipe away rectal discharge to reduce bacterial spread.

- Considerations for a rectal stump:
1. Occasional mucus discharge is normal when a rectal stump is left in place.
2. For some, constant leakage and recurrent UTIs may lead to the need for surgical removal of the stump. One person shared that they have not had any UTIs since having their rectum removed and previously used pads to manage leakage.