This topic is about dealing with some challenges after having a Hartmann’s takedown surgery, which resulted in an end-sigmoid colostomy. The person is experiencing issues like minimal output, retraction, and discoloration of the stoma. Here are some helpful insights and advice shared by others who have faced similar situations:

1. If you notice minimal or no output from your stoma, it could be a sign of a partial or full blockage. It's important to consider going back to the hospital or contacting your surgeon as soon as possible.

2. If you have a stoma or ostomy nurse assigned to you, reach out to them immediately. They can help assess the situation and may be able to expedite your care.

3. If you can't get to the hospital right away, try to stop eating solid foods and stick to clear liquids. Avoid taking opioid pain medications, as they can make constipation worse.

4. It's not uncommon for the stoma to change shape or color, especially after surgery. However, if you notice persistent retraction, dark discoloration, or a significant loss of output, it's important to seek professional medical advice.

5. Remember, it's okay to seek help even if it means making another trip to the hospital. Your health and well-being are the top priority, and medical professionals are there to support you through this process.