This topic is about someone who recently had an ileostomy and is experiencing their first rectal bowel movements three months after the surgery. They are feeling anxious because they were told that occasional bowel movements can happen, but they want to know what signs might indicate that something is wrong.

Here are some helpful points and advice shared by others:

1. **Understand Your Ileostomy Type and Anatomy**: It's important to know whether you have a loop or an end ileostomy and how much of your colon remains. This can affect whether stool might pass through the rectum. In this case, the person has an end ileostomy, and about one-third of their colon is left.

2. **Consult a Healthcare Professional**: Many people suggest reaching out to your surgeon, ostomy nurse, or a gastrointestinal (GI) specialist. They can provide guidance and may recommend tests like a CT scan or an endoscopic examination to ensure everything is okay.

3. **Be Cautious with Black Stool**: If you notice black, unformed stool, it could be a sign of bleeding. It's important to distinguish between truly black stool and very dark green stool. If it's black, it's a good idea to contact your GI doctor as soon as possible.