Let's talk about diversion colitis, a condition that can affect people with an ostomy. It's a type of inflammation that occurs in the part of the intestine that is no longer in use after surgery. If you're experiencing symptoms like pain or unusual drainage, you might be dealing with this condition. Here are some insights and advice from others who have been through it:

1. Combination-antibiotic therapy: Some people have found relief from symptoms like pain, itching, and rectal drainage by using a combination of antibiotics. A two-week course of Flagyl (metronidazole) and Cipro (ciprofloxacin), along with Colifoam Rectal Steroid Foam, has been effective for some.

2. Stoma anatomy awareness: If you have a loop ileostomy and a disconnected J-pouch, be aware that very liquid output can sometimes flow into the inactive J-pouch and exit rectally. This can carry food particles and lead to infection or inflammation.

3. Output-thickening product: Using a product like "Absorbagel," which contains super-absorbent granules, can help thicken liquid stool into a sludge. This prevents backflow into the J-pouch and reduces issues like leakage, cramping, and rectal discharge. Two sachets can solidify one full pouch.

4. Distinguish conditions: It's important to differentiate between disuse (diversion) proctitis/colitis and proctitis related to inflammatory bowel disease (IBD) or pouchitis, as the treatments vary.

5. First-line therapy for disuse proctitis: Short-chain fatty-acid enemas are often considered the most effective treatment option for this condition.

6. First-line therapy for IBD-related proctitis: Cortisone (steroid) and mesalamine (5-ASA) suppositories or enemas are recommended, with bedtime suppositories being more convenient for some.

7. General recommendation: Always consult with a physician to get an accurate diagnosis and to determine the best medication regimen for your specific situation before starting any treatment.