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May 20, 2021

Bloody or Pink Rectal Discharge After Long Period of None

This topic is about someone who has had an ostomy for 10 years due to severe Crohn’s disease and has recently started experiencing a sudden increase in bloody or pink rectal discharge. This is unusual for them, as they previously only had discharge about once every six months. They are curious if others have experienced a similar situation and whether this type of discharge should be a concern.

Here are some helpful insights and advice:

1. Crohn’s disease can sometimes cause sudden inflammation in the rectal stump, leading to increased discharge that may be bloody or pink. A gastroenterologist might prescribe a short course of steroids to help manage these flares.

2. If there is persistent bleeding after initially having white mucus, anti-inflammatory drugs might be used. If these become less effective, some people try flushing the rectal stump with a probiotic solution to help balance bacteria and reduce inflammation. This method can vary in effectiveness but may help reduce bleeding for some individuals.

3. Mucus that is not expelled regularly can harden and form painful plugs in the rectal stump. Allowing the mucus to drain regularly, even daily, can help prevent this. While colorless mucus is common, sometimes pink staining on toilet tissue can occur.

4. Regardless of any suspected causes, such as the timing of a vaccination, it is important to discuss any new or increasing bloody discharge with a physician. This can help rule out active disease, infection, or other complications and determine if treatments like steroids, anti-inflammatories, or probiotic irrigation might be needed.
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