This topic is about experiencing stool-like discharge from the rectum after having a temporary ileostomy, which can be a bit confusing and concerning. Here are some helpful insights and advice for navigating this situation:

- After surgery, it's common to have rectal discharge. The rectum continues to produce mucus, which can sometimes look and smell like stool. This sensation of needing to go and passing only a small amount is typical, especially in the early weeks or months after surgery. Over time, this may decrease, but if it stops suddenly, it's important to talk to your surgeon.

- If you have a loop ileostomy, there might be two openings, allowing thin output to leak into the inactive bowel, creating stool-like discharge. To manage this, you can use absorbent sachets like Absorbagel or Pearls to thicken the output, reducing unexpected leaks and soiling.

- To prevent leaks and care for your skin, consider using a pre-cut drainable pouch and empty it often. Rinse the pouch tail with water after emptying. Use adhesive spray, a barrier ring, and stoma paste around the stoma, and hold it in place for about 60 seconds to ensure a good seal. Change the appliance immediately if you notice any seepage, and aim for a wear-time of about a week on clean, dry skin.

- Feeling anxious about returning to work and how others might react is normal. Most people are understanding or indifferent once they know. Focus on your comfort and routine, and your confidence will grow as you get better at managing your pouch.

- At your next medical appointment, be sure to mention the rectal discharge, the type of stoma you have, and any skin issues. If the discharge increases, becomes bloody, or stops suddenly with new pain, contact your surgical team right away.

- Some people have needed a short course of antibiotics to clear up an infection (pouchitis) once they controlled leakage into the defunctioned bowel with Absorbagel.