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Jun 02, 2024

Experiencing Watery Stool from Original Area Post-Ostomy Surgery

This topic is about an 87-year-old individual who had ostomy surgery four years ago. Over time, they have developed a large peristomal hernia, which has grown to the size of a honeydew melon. This has made it difficult for them to hide the hernia, leading to self-isolation. Additionally, they have started experiencing an unusual watery discharge from the rectum several times a day and are not receiving helpful advice from their current doctor.

Here are some suggestions and insights that might be helpful:

1. Consider finding a new doctor or a specialist in colorectal or ostomy surgery, as the current healthcare provider is not offering adequate support.

2. A hernia support belt should have been recommended earlier. While it won't cure the hernia, it can help slow down or limit its growth.

3. Surgical options, such as laparoscopic repair, might still be possible even at an advanced age. Research indicates only a slight increase in surgical risk for older adults, with long-term outcomes similar to those of younger patients once they recover.

4. After ostomy surgery, the only normal rectal output should be mucus. If there is a persistent watery discharge, it is important to seek a prompt evaluation, which should include a physical exam and possibly CT or MRI imaging.

5. Addressing or managing the hernia can improve mobility, comfort, and overall quality of life. It is strongly recommended to consult with a surgeon.
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