This topic is about dealing with the difficulty of passing rectal-stump mucus after having a colostomy for a few years. The person in question hasn't been able to pass mucus since a colonoscopy in August 2022 and is feeling constant pressure in the rectum. They tried using Microlax without success and are worried about potential damage from prolonged retention. While waiting for a surgical review, they are looking for temporary solutions.

Here are some suggestions and insights shared by others:

1. Try a rectal flush:
- Use a warm-water enema, which can be done with a commercial kit or a simple bulb, to help relieve the pressure.
- Some people find success by irrigating both the colostomy and the rectal stump at the same time using a cone-tip system, which can often trigger mucus release.

2. It's not uncommon for people with a colostomy to go days without passing mucus. Pressure without pain might be due to trapped gas. However, if you experience pain, swelling, or your bowels stop working, it's important to visit the emergency department.

3. Look through forum threads that focus on "mucus drainage" to find specific techniques or products that have helped others manage or reduce excessive mucus from the stump.

4. If enemas don't resolve the blockage, it might be due to hemorrhoids blocking the outlet, although this is rare. Surgical options, such as stump removal or a procedure known as "Barbie butt," are available but are typically considered as a last resort and should be discussed with a colorectal surgeon.