This topic is about a person who underwent emergency stoma surgery after experiencing a bowel leak and sepsis following a cancer-related bowel resection. After the surgery, a rectal drain was left in place, which has been causing significant discomfort and pain. Here are some insights and advice based on this situation:

1. The rectal drain, although producing minimal fluid, was initially kept in place to prevent fluid build-up and infection. However, it has been causing constant pain, including internal pressure, spasms, shooting nerve pain, and an overall ache, making it difficult for the person to walk or sleep.

2. During a recent hospitalization for sepsis, manipulation of the drain revealed fibrosis around its tip, which worsened the discomfort.

3. Over-the-counter codeine provides only limited relief from the pain. With chemotherapy scheduled soon, there is concern about declining physical fitness.

4. At a follow-up appointment, the consultant decided to remove the rectal drain, as it was deemed to be causing more harm than good. This has brought some relief, but there is still concern about the potential for fluid build-up or infection.

5. It is important to ensure that the medical team is fully aware of the extent of the pain being experienced. It is worth asking if this level of discomfort is expected or acceptable.

6. If there are still concerns, consider seeking a second medical opinion to assess the necessity of the drain or any future drains. This can also help explore alternative strategies for pain management or drainage.