This topic is about dealing with persistent rectal mucus after having a colon resection. The person who started the discussion had their surgery over two years ago and has noticed an increase in rectal mucus, to the point where they now need to use a Depend pad or brief. They are reaching out to see if others have experienced something similar.

Here are some helpful insights and advice:

- If the rectum is still present, it will naturally continue to produce mucus as a lubricant, even though stool now exits through the stoma.

- If the mucus contains blood, pus, or causes pain, it could indicate inflammation, infection, proctitis, residual colitis, or a fistula. It's important to report these symptoms to a general practitioner or colorectal surgeon, as they may need further investigation, such as a scope.

- There could be underlying issues that need to be checked:
1. Small perianal fistulas might leak clear fluid without obvious symptoms. A self-check with a handheld mirror or a clinical exam can help detect them.
2. Severe colitis or proctitis might persist in the rectal stump. A flexible sigmoidoscopy or an exam under anesthesia can confirm this.

- Some medical treatments that others have found helpful include:
1. Mesalazine/5-ASA enemas like Salofalk and Pentasa, which can be used daily or long-term to control inflammation and bleeding.
2. Uceris (budesonide) rectal foam steroid, which is easier to retain than suppositories and can reach higher in the rectum.

- As a surgical option, complete removal of the remaining colon or rectum can permanently stop mucus and bleeding if medical treatments fail or if inflammatory bowel disease remains active.

- For practical coping:
1. Use pads or Depend briefs to manage daily leakage.
2. Keep toilet paper or gauze between the cheeks to monitor moisture and protect the skin.
3. Share your concerns with trusted friends, support groups, or a 24-hour ostomy helpline for emotional and practical support.