This topic is about managing increasingly irritating rectal discharge that someone is experiencing 10 years after having an emergency ileostomy. The rectum was left in place, and while it has always produced some mucus or discharge, the situation has recently become more bothersome. The person is seeking alternatives to rectum removal, which is a complex surgery with a challenging recovery.

Here are some helpful suggestions and insights:

1. Seek professional advice and assessment. Describe any changes in the discharge, such as volume, odor, pain, or skin irritation. An ostomy or ET nurse might have more experience in managing these issues than a surgeon.

2. Understand that rectal excision is a major surgery. It comes with risks like non-healing wounds, prolonged pain, and the need for therapies such as hyperbaric oxygen, along with a long rehabilitation period. Consider these factors carefully before making a decision.

3. Keep an eye on how long the increase in discharge lasts. If it's a recent change, it might be temporary.

4. Get additional opinions from other surgeons before deciding on rectum removal.

5. Try topical management first. Use standard ostomy or skin-barrier creams. If there's redness or itching that suggests a yeast problem, consider using an over-the-counter or prescription antifungal cream. Some people find athlete’s-foot formulations helpful.

6. Maintain a meticulous hygiene routine. This includes frequent baths or showers, thorough drying, and shaving anal hair to reduce mucus retention and friction.

7. Use layered protection. Fold tissue or gauze between the buttocks and place an incontinence pad to absorb excess mucus. The tissue can also be used to apply creams or powders.

8. Some people use irrigation. The cone used for stoma irrigation can sometimes be adapted for gentle anal irrigation, though this is not universally recommended by clinicians.

9. Explore the forum’s “Collections” section for previous discussions on rectal mucus for more strategies.