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Apr 15, 2020

Stoma and Bowel Movements - Experiencing Incomplete Evacuation?

This topic is about experiencing mucus or partial discharge from the rectum years after having ostomy surgery. If you've had a stoma surgery and are noticing this, here's some helpful information and advice:

- It's common for people who have had an ileostomy to occasionally feel the urge to use the toilet and pass a small amount of material. This is generally normal and not something to worry about.

- Even after surgery, the remaining colon or rectum can still produce mucus. This mucus can build up, making you feel like you need to have a bowel movement, and then it may come out through the rectum. This is expected and usually harmless unless you notice actual stool.

- The frequency of these episodes can vary. Some people might experience them every few weeks or months. While the first few times can be surprising, it's a routine occurrence.

- If the mucus becomes hard or difficult to pass, you might find relief by using a lubricated glove to assist with removal. Some surgeons also suggest using a pessary for comfort.

- For some, these episodes might be painful. If you're concerned, it's perfectly fine to reach out to your surgeon or stoma nurse for reassurance. Most healthcare professionals will confirm that this is a normal experience.

- If you notice solid stool, increased inflammation, or any unusual symptoms, especially after procedures like a flex-sigmoidoscopy, it's important to see a gastroenterologist. They can check for any complications such as fistulae or partial bowel continuity.
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