Let's talk about something that might be on your mind if you've had a colostomy: experiencing rectal bowel movements. You might be wondering if this is normal or if it's something to be concerned about. Here's a bit of information and advice that might help clear things up:

- It's not unusual: People with loop ileostomies or loop/transverse colostomies sometimes experience rectal output, which can include stool, mucus, or both, even months or years after their surgery.

- Understanding the output:
- Initially, what you pass might just be leftover stool or mucus from before your surgery.
- If you continue to pass formed stool, it might mean that some intestinal flow is still reaching the lower part of your bowel, possibly through the loop segment or due to a fistula.

- When to check with your doctor:
- If you notice persistent stool (not just mucus), it's a good idea to see your surgeon. They can check for any issues like leakage or fistula formation.
- Also, if you experience increased bleeding or a foul-smelling discharge, it's important to report this to your healthcare provider.

- Managing it yourself:
- One person found relief from chronic distal constipation by using a glycerine suppository in the loop end of their stoma and increasing their dietary fiber. This helped them achieve regular rectal emptying and feel more comfortable.

- What surgeons say:
- A colorectal surgeon mentioned that infrequent rectal bowel movements were noted but not immediately concerning. However, if these episodes continue, it's worth discussing further to understand the cause better.

Remember, it's always best to talk to your healthcare provider about any concerns you have regarding your colostomy and any symptoms you experience.