Let's talk about something called "phantom rectum." This is a sensation some people experience after ostomy surgery, where it feels like you need to go to the bathroom, even though the usual pathways are no longer connected. It's similar to what some amputees feel with phantom limb pain. The nerves that used to connect to the rectum are still sending signals to the brain, which can be confusing and uncomfortable.

Here are some practical tips and insights to help manage this sensation:

1. Try sitting on the toilet to "trick" your body into thinking it's going through the usual process. This can sometimes provide temporary relief.

2. Keep your intestines as clear as possible. Some people use magnesium citrate bowel prep, but be cautious as it can lead to diarrhea, especially if you have a colostomy.

3. Regulate stool consistency with fiber supplements like Metamucil powder or crackers. This can help manage the sensation.

4. Be aware that opioid pain medications, such as codeine, can worsen phantom rectum episodes by causing constipation. This can happen both shortly after surgery and later on.

5. Some people experience mucus or discharge, which can be managed by emptying it whenever you empty your pouch. This can help prevent a sense of urgency.

6. The color of rectal discharge can vary from brown to reddish-brown. While this is common, the reason for the color change isn't always clear.

Remember, you're not alone in experiencing this, and it often becomes less frequent over time.