This topic is about someone who had surgery for ulcerative colitis back in 2012 and now has an ileostomy with a retained rectal stump. Initially, after the surgery, there was some drainage from the stump, but it almost stopped over time. Recently, however, they've noticed a return of frequent, pale-pink drainage, especially during a stressful period related to moving. They are curious if others with a similar situation have experienced this kind of recurrence.

Here are some helpful insights and advice:

- It's generally normal for a rectal stump to produce pale-pink or clear mucous discharge. The body continues to produce mucus even when there's no fecal flow.
- Both physical strain and emotional stress can lead to an increase in mucus production, which might explain temporary changes in drainage.
- Be alert for warning signs that should prompt a medical review, such as:
1. Pure blood or heavily bloody discharge
2. Foul odor or unusual colors like green
3. New or increased pain, leakage, or other changes in symptoms
- If bleeding or the amount of drainage persists, a sigmoidoscopy might be needed to check for inflammation in the stump, known as "stump colitis." This can happen because the rectal segment no longer receives the protective elements found in fecal content.
- Treatment for stump colitis may involve Mesalamine (5-ASA) rectal preparations, which could include:
1. Mesalamine rectal suspension enema (available by prescription)
2. A Mesalamine suppository as an alternative for those who prefer it
- While stump colitis is rarely life-threatening, having a scoped evaluation under anesthesia can provide reassurance and help guide treatment.