This topic is about a person whose husband had an end sigmoid colostomy with Hartmann’s pouch back in 2009. Since then, he has been experiencing some ongoing issues, and they are looking for advice and explanations. Here’s a breakdown of the situation and some helpful suggestions:

- The husband has been dealing with intermittent discharge that seems like stool coming from the rectum.
- He has suffered from a very severe bladder infection.
- He has been diagnosed with diverticulitis in the remaining part of his bowel.

Despite undergoing multiple tests like CT scans, barium enemas, and colonoscopies, doctors have not found a fistula or explained the cause of the rectal discharge or the diverticulitis.

Additional concerns include:
- After a recent barium enema, the husband noticed mucus, not stool, passing from the rectum. He suspects this mucus might have caused colitis, which then led to diverticulitis. They are seeking clarification on this.

Here are some pieces of advice and insights that might help:

1. Consider visiting a specialized ostomy clinic where experienced nurses can address these specific issues.
2. It might be beneficial to seek second or even third opinions from surgeons or gastroenterologists, as persistent rectal output years after an end colostomy is unusual and needs expert evaluation.
3. Dealing with continuous symptoms can be distressing, so it’s important to act quickly on any new or worsening signs and to maintain a strong support network for both physical and emotional health.
4. If current healthcare providers are unable to explain the situation, it’s crucial to consult professionals who regularly handle complex ostomy and lower-GI complications to ensure an accurate diagnosis and appropriate treatment.