Topic Explanation
The discussion centers around permanent ileostomy patients experiencing severe rectal pain, specifically pain in the rectal stump left after surgery. The original poster has been suffering from debilitating internal rectal pain for three years and is seeking advice and insights from others who might have similar experiences.

Advice and Insights

- Consider Surgical Options:
- Some patients have had their rectal stump removed and opted for a procedure known as "Barbie Butt." Consulting with a surgeon to discuss the feasibility and potential benefits of this procedure is recommended.

- Pelvic Floor Dysfunction:
- Severe pelvic floor dysfunction can exacerbate issues with the rectal stump, especially if mucus or slough cannot be passed. In such cases, removal of the stump might be necessary.

- Seek Professional Advice:
- It is crucial to seek information and professional advice. Consulting with a surgeon and arming oneself with questions is essential. Researching and understanding the condition can help in making informed decisions.

- Symptoms and Conditions:
- While some patients do not experience pain from the rectal stump, others report issues like leakage, blood, and proctitis. Persistent pain should be investigated as it might indicate a more serious underlying condition.

- Personal Experiences:
- Experiences vary widely among patients. Some have no pain but deal with other symptoms like leakage and blood. It is important to get the rectal stump checked if experiencing pain, as it is not typical and could signify a more serious issue.