This topic is about understanding and managing diversion colitis, a condition that can occur after colostomy surgery. If you've had a colostomy, you might be curious about what others have experienced with this condition and what treatments have worked for them. Here's a breakdown of the key points:

- People are sharing their experiences with diversion colitis, which is inflammation that can happen when part of the colon is not being used after surgery.
- Common symptoms include severe anal or rectal pain and a constant urge to have a bowel movement, even though the colon is not in use.
- A flexible sigmoidoscopy with a biopsy can help diagnose this condition, showing acute colitis without signs of cancer or inflammatory bowel disease.
- Short-chain fatty-acid (SCFA) enemas are often the first treatment tried, as they help nourish the unused part of the colon. However, some people may experience irritation without relief.
- If SCFA enemas don't work, mesalamine (5-ASA) enemas might be recommended. People are sharing their experiences with both treatments to help others decide what might work best.
- Diversion colitis is common because the colon doesn't like being inactive, leading to inflammation and a phantom urge to pass gas. While uncomfortable, it's usually not dangerous.
- If SCFA enemas are not effective, mesalamine suppositories or enemas can be a good alternative.
- In some cases, corticosteroid suppositories might be added to the treatment plan. It's important to note that a portion of the steroid is absorbed into the body, similar to taking a small dose of Prednisone, so potential systemic effects should be considered.
- It's crucial to have a thorough examination, like a flexible sigmoidoscopy, to rule out other possible causes of symptoms before concluding that they are due to diversion colitis.