Topic Explanation
The discussion centers around a person who recently had their first bowel movements (BMs) after getting an ileostomy three months ago. They are concerned and seeking advice on whether this is normal and how to identify if the BMs are unhealthy.

Advice and Insights
1. Consultation with Medical Professionals:
- It is recommended to visit a surgeon or an ostomy nurse for a check-up.
- A CT scan or scope check should be performed to ensure everything is normal.

2. Color of Stool:
- Black stool is generally a cause for concern and should be reported to a GI doctor.
- It is important to differentiate between truly black stool and very dark green stool.

3. Type of Ileostomy:
- The type of ileostomy (loop or end) can affect the presence of BMs.
- Even with a loop ileostomy, some stool can pass through the second opening.

4. Extent of Colon Removal:
- The amount of colon removed can influence bowel movements.
- Having a significant portion of the colon removed might contribute to the occurrence of BMs.