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Nov 29, 2022

Rectal Discharge After Colostomy - Is Brown Mucus Normal?

This topic is about someone who recently had a colostomy and is experiencing a brown, stool-like rectal discharge three weeks after the surgery. They were expecting a clear or white mucus and are concerned about whether this is normal.

Here are some helpful insights and advice:

1. It is common to see brown or dark rectal mucus in the early weeks after a colostomy. The color often comes from old blood and tissue in the healing rectal stump, which can look and even smell like stool.

2. The consistency and color of the discharge can vary widely. It might be brown, yellow, white, or clear, and can be soft, hard, or "gunk-like." These changes may continue for months or even a year or two.

3. Most people notice the discharge becoming lighter, turning pale yellow or clear, after several weeks to a month, though this timeline can differ from person to person.

4. If there is no pain, fresh bleeding, or other alarming symptoms, it is usually not a cause for concern. However, it is always a good idea to contact your surgeon or gastroenterologist for reassurance.

5. Anal or rectal irrigation can help flush out mucus, reduce odor, and make it easier to manage between episodes.
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