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Jun 13, 2023

Mucus Output and Lifestyle - Seeking Insights on Post-Ileostomy Experiences

This topic is about understanding the fluctuations in mucus output after having a temporary end ileostomy. The person who shared their experience noticed that the amount of rectal mucus they produce varies, sometimes having none for days and other times experiencing it multiple times a day. They observed that their mucus output seemed to increase after several nights of drinking alcohol and decrease when they avoided alcohol, ate healthier, and exercised. They are curious about how lifestyle choices might affect mucus production, even though their ileostomy and rectum are not connected.

Here are some helpful insights and advice on this topic:

1. It is normal for the rectum and anus to produce mucus when they remain intact, even with an ileostomy. This can vary greatly, from no mucus for days to several times a day.

2. The rectal stump continues to shed cells and secrete mucus as a natural lubricant for bowel movements. Since feces no longer pass through, this material accumulates until it is expelled. If the rectum and anus are surgically removed, mucus production generally stops.

3. Many people do not notice significant changes in mucus production with normal dietary variations. Some do not see a connection to alcohol, while others, like the person who shared their experience, notice increased mucus after heavy drinking.

4. Some individuals experience more discharge when they eat more food overall, while eating less may reduce the volume for a few people.

5. To manage mucus output:
- Understand that sporadic drainage is expected if the rectum is intact.
- For skin irritation or odor, frequent showers or sitz baths and using barrier creams like Calmoseptine can be helpful.
- If the discharge becomes foul-smelling, continuous, or comes from an unexpected place, it is advisable to seek medical evaluation, such as a CT scan, to rule out a fistula.

6. Having a colostomy or ileostomy with an intact rectum does not stop mucus production; only the surgical removal of the rectal stump would eliminate it.
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