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Apr 15, 2020

Stoma and Bowel Movements - Experiencing Incomplete Evacuation?

Topic Explanation
The discussion revolves around individuals with stomas experiencing sensations of incomplete bowel evacuation, despite having an ostomy. The original poster mentions having a stoma for six years and occasionally feeling the need to use the toilet, with only small amounts of discharge occurring. This sensation and the discharge are concerning and confusing to them, prompting them to seek insights from others with similar experiences.

Advice and Helpful Insights
1. Normalcy of Mucus Discharge:
- It's common for individuals with a stoma, especially those with parts of their colon or rectum intact, to experience mucus discharge. The rectum can still produce mucus, which accumulates and leads to the sensation of needing to pass stool.
- This discharge can occur periodically (every few weeks or months) and is generally not a cause for concern unless accompanied by solid stool.

2. Management Techniques:
- Some individuals find relief by manually assisting the evacuation of hard mucus using gloves and lubrication.
- A pessary can be used to help pass the mucus more comfortably, as recommended by some surgeons.

3. Medical Consultation:
- It is advisable to consult healthcare providers, such as stoma nurses or surgeons, when experiencing unusual symptoms or pain. They often reassure that mucus discharge is a normal occurrence.
- In cases where there is an increase in mucus discharge or unexpected symptoms (like formed stool), it is crucial to consult a gastroenterologist or relevant specialist to rule out complications such as fistulas or issues with the ostomy itself.

4. Personal Experiences and Reactions:
- Many individuals initially find the discharge alarming, especially shortly after surgery, but understanding that it is a normal part of having a stoma can provide reassurance.
- Sharing experiences with others who have stomas can offer comfort and practical advice on managing similar symptoms.
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