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Feb 06, 2024

Gas and Stool from Closed Rectum Post-Ostomy Surgery - Seeking Advice

This topic is about a person who has experienced unexpected gas, mucus, and stool-like discharge from a surgically closed rectum after having colostomy surgery. They are concerned about whether this is dangerous or common among others with similar surgeries. Here are some helpful insights and advice for anyone in a similar situation:

1. Understand Your Surgical Anatomy:
- Ask your doctor if you had a proctectomy, where the rectum is removed and the anus is sewn shut, or if you have a rectal stump with the anus closed but the rectum still present.
- Request copies of your surgical reports to know exactly what was done during your surgeries.

2. If Part of the Rectum Remains:
- The lining of the remaining rectum can still produce mucus. This can build up and cause sensations similar to needing a bowel movement, releasing gas and mucus that might appear brown.
- This is generally normal and can happen at varying frequencies, such as monthly.
- It is usually not a concern unless you notice significant fresh blood, a large volume of discharge, fever, or pain.

3. If the Rectum and Anus Were Completely Removed:
- No discharge should occur. If it does, it might indicate a broken stitch, fistula, or another issue that requires immediate surgical evaluation.

4. Warning Signs to Watch For:
- Seek medical attention if you experience persistent bleeding, foul-smelling discharge, fever, abdominal pain, or swelling in the perineal area, as these could indicate an abscess or sepsis.

5. Communicating with Healthcare Providers:
- Consider bringing a friend or family member to appointments for support and to help take notes.
- Keep a dated log of your symptoms and prepare questions in advance for your doctor.
- If you are not satisfied with the answers you receive, consider seeking a second opinion, possibly at a larger medical center like the one in Atlanta.

6. Community Terminology:
- "Ken/Barbie Butt" refers to the complete removal of the rectum and anus with closure of the perineal area.
- Normal mucus discharge is expected only if a rectal stump is left.

7. General Tip:
- Keep your medical details updated in any forums you participate in and date your posts to receive accurate and timely advice from others.
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