Topic Explanation:
The discussion centers around complications related to a rectal stump in individuals with a permanent ileostomy. The original poster describes experiencing rectal impaction and bleeding, including blood clots, and seeks advice on whether these symptoms are normal and how to address them.

Advice and Insights:

1. Contact a Doctor:
- It is advised to contact a doctor if experiencing unusual symptoms like bleeding or impaction, as these may indicate something is not right.

2. Mucus Discharge:
- Mucus discharge from the rectal stump is common, but the presence of blood should be checked by a healthcare professional.

3. Bleeding Considerations:
- Bleeding might be due to minor damage from impaction, but professional evaluation is recommended for peace of mind.
- A flexible sigmoidoscopy or colonoscopy might be necessary to determine the source of bleeding.
- If bleeding is related to past radiation or chemotherapy, it may be a recurring issue that needs monitoring.

4. Managing Symptoms:
- Sitz baths can help relieve pressure and facilitate mucus movement.
- Increasing protein intake can help compensate for blood loss if bleeding is recurrent.

5. Long-term Management:
- Regular check-ups and scopes may be necessary to monitor the condition of the rectal stump.
- Some individuals have been prescribed treatments like cortisone to manage bleeding.

6. Understanding Rectal Stump and Barbie Butt:
- The rectal stump can produce mucus and sometimes blood, while a "Barbie Butt" refers to the removal of the rectal stump and closure of the anus, eliminating discharge.

7. Personal Experiences:
- Experiences with rectal stump complications vary, with some individuals experiencing phantom sensations and others having structural issues like strictures. Regular consultation with a healthcare provider is advised if symptoms persist.