This topic is about a 71-year-old woman who is experiencing unexpected vaginal bleeding. This is happening seven months after she had a colostomy and 30 years after a total hysterectomy, which included the removal of her cervix. She noticed fresh vaginal spotting with an odor and is concerned about what might be causing it. She suspects it could be due to post-menopausal vaginal atrophy, but she's unsure because she thought a fistula discharge would be dark, not bright red. Her regular doctor is unavailable for six weeks, and no other physician is available for about a month. She has an upcoming appointment with her stoma nurse and is seeking advice from others who might have experienced similar symptoms.

Here are some pieces of advice and insights shared by others:

1. Seek immediate medical attention. Many suggest going to an emergency department, urgent-care clinic, or contacting the stoma nurse right away instead of waiting weeks.

2. Request an urgent GP appointment. Someone who works in a GP practice recommends asking for an urgent consultation with a female GP who can examine the area and perform a smear test.

3. Consider possible causes linked to recent surgery. One person asks if a bladder or urethral stent was placed during surgery, as these can irritate tissue and cause bleeding.

4. Do not minimize or delay. Several people emphasize that unexplained post-hysterectomy bleeding at this age could indicate serious issues, including the possibility of cancer recurrence, and should be investigated promptly.