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Nov 10, 2020

Post-Colostomy Anal Discharge: Normal or Concerning?

This topic is about understanding whether anal discharge after a colostomy surgery is normal. The poster's father had colon cancer surgery and a temporary colostomy 20 days ago. About 12 days after the operation, he started experiencing a mixed white and dark-red discharge from the anus. Here's a breakdown of the situation and some helpful advice:

- The discharge lasted for a week and is now minimal and painless, though it initially caused significant pain for two days.
- The surgeon prescribed antibiotics on the second day of the discharge, suspecting a possible infection or an incompletely healed wound. Blood tests also showed a positive result for Salmonella typhi.
- The colostomy output itself is normal.
- The family is concerned due to limited local medical resources and seeks reassurance or guidance on whether this anal discharge is expected or indicates a serious problem.

Advice and insights include:

1. It is common to have small amounts of bloody or mucus-laden anal discharge after colostomy surgery. The rectal stump continues to secrete mucus and may expel old blood or scabs as it heals.
2. The color, texture, and frequency of discharge can vary widely, appearing dark-brown, yellow, clear, hardened, or liquid, and may persist for months. It should gradually lessen over time.
3. Occasionally, small "mini-stools" or mucus plugs can form in the retained anal canal. These can pass on their own, sometimes only once a month.
4. Key warning signs that require a return to the hospital include fever, increasing pain, or any sudden change suggesting an active infection.
5. It is important to complete the full prescribed course of antibiotics.
6. Early healing often requires patience. Using incontinence pads or, if necessary, gentle irrigation of the rectal stump can help manage discharge until it subsides.
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