This topic is about dealing with some uncomfortable issues that can arise after having a permanent ileostomy, especially if you still have a rectal stump. The person sharing their experience is facing a few challenges:

- They are noticing bleeding from the rectal stump.
- There is a continuous discharge of mucus.
- They are dealing with fissures and hemorrhoids.
- They are experiencing significant rectal pain.

Here are some pieces of advice and insights from others who have been in similar situations:

1. Another person with a permanent ileostomy mentioned having similar issues with mucus and severe rectal pain. They emphasized that any bleeding should be taken seriously, as it might be due to hemorrhoids or another underlying issue.

2. After dealing with these symptoms for 22 years, one individual decided to have surgery to remove the remaining rectum, known as a completion proctectomy. They shared that since having the surgery, they have felt much better, suggesting that this procedure can effectively resolve chronic pain and bleeding when other treatments do not work.