This topic is about understanding what to expect with rectal mucus and "phantom" bowel urges after having a colostomy. If you've recently had this surgery, you might notice some new sensations and experiences that can be a bit confusing or concerning. Here's a breakdown of what you might encounter and some helpful advice:

1. Normality and Duration
- It's completely normal to experience rectal mucus production and "phantom" urges if any part of the rectum remains after surgery.
- The frequency of mucus passing varies greatly among individuals. Some people might pass mucus daily, while others might only experience it monthly or when bearing down. It can persist for many years, and for some, it may never fully go away.
- Over time, the urge to have a bowel movement usually decreases. Some people only feel it once or twice a month after several years.

2. Handling the Urge and Releasing Mucus
- When you feel the urge, try sitting on the toilet and gently bearing down. Holding it in can cause the mucus to harden, making it more difficult to pass.
- If nothing comes out naturally, you might consider using a glycerin suppository or a plain-water enema to help clear the rectal area.
- Some surgeons recommend regular irrigation of the rectal stump to prevent complications from prolonged retention.

3. Odor and Appearance
- The color of the mucus can vary from clear to white, yellow, green, or occasionally blood-tinged.
- Clear or white mucus is typical, but if you notice persistent blood, it could indicate an active disease like Crohn’s or ulcerative colitis, and you should consult your doctor.
- The odor can range from none to quite strong, depending on the individual.

4. Pads and Protection Options
- To manage any leakage, you can use incontinence pads or liners, maternity sanitary napkins, disposable underwear, men’s tampon-like pads, gauze pads, or even folded paper towels.
- Products with fast absorbency are preferred since mucus is thicker than urine. Some people use layered paper towels for extra protection.

5. Miscellaneous Tips and Experiences
- Experiencing phantom rectum pain or cramping is common and feels similar to pre-surgery bowel urgency.
- Some people notice an increase in mucus output after procedures like a colonoscopy or during illnesses like COVID-19.
- Those with a full colon and rectum might use occasional full enemas to clear stool and mucus.
- If you're considering future procedures, like J-Pouch surgery, it might affect whether you keep or remove the rectal stump.
- Long-term users suggest learning your personal patterns and always carrying spare pads or wipes, with baby wipes being recommended for cleaning.
- Removing the rectal stump can eliminate these issues but requires additional surgery and may result in a "Ken butt" for some.