This topic is about managing persistent mucus discharge from a rectal stump after ostomy surgery. The person who started the discussion shared their experience through a humorous poem, describing the challenges of dealing with mucus, sometimes mixed with blood, leaking from the rectal stump. The discharge can vary in color, consistency, and volume, and it often has an odor. This situation requires constant use of pads or plugs and can be quite frustrating, especially since there was an expectation that an ostomy would end incontinence issues. Here are some insights and advice shared by others:
1. The rectal stump is often left in place intentionally to avoid major surgery or in case of a future reconnection, like a J-pouch. Mucus production is normal, and it's important to monitor the stump with regular check-ups. Medications might help if the output is excessive.
2. A hand-held showerhead can make cleaning easier, and some people prefer to travel with a detachable one for convenience.
3. For managing the discharge, consider using:
- Panty liners, feminine or maxi pads, or incontinence pads for daily protection.
- Rolled tissue "cigarette" plugs or tampons for internal plugging, which should be changed frequently.
- 0.25" Nu Gauze sterile packing strips to absorb blood and reduce infection risk.
- Bounty paper towels inside underwear for better absorbency than commercial pads.
4. The amount of discharge can be influenced by factors like dehydration, prolonged sitting, time of day, diet, or stress. Keeping a diary and experimenting with different methods, such as gentle enemas, can help identify personal triggers and reduce the flow.
5. Psychological support is important. Humor, poetry, and sharing experiences in forums can provide emotional relief. Knowing that others face similar challenges can reassure new patients that this condition is a "normal abnormal.
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