This topic is about the experience of feeling the urge to defecate after having an ileostomy, which is a surgical procedure where the small intestine is diverted through an opening in the abdomen. The person who started the discussion has had an ileostomy for a year and sometimes feels a strong urge to pass stool through the rectum, although only a little gas is released. They tried using an enema, which was painful and didn't help. They are curious if others with an ileostomy have similar experiences.

Here are some helpful insights and advice on this topic:

1. It's quite common for people with an ileostomy to still feel the urge to defecate if the rectum and anus are left in place. This sensation can persist for many years.

2. An ostomy nurse explains that even when the colon is disconnected, the rectum can still produce mucus, which is a natural lubricant. This mucus might pass unnoticed or create a feeling of needing to evacuate.

3. Small releases of gas, or "tiny farts," are normal if the anus is still intact.

4. If you have rectal discomfort, it might be due to infections or conditions like hemorrhoids. It's a good idea to consult a healthcare professional if the pain or any infection continues.

5. For those who have had their entire colon and rectum removed, they might experience "phantom" sensations, similar to the feeling some people have after losing a limb.