This topic is about the sensation of needing to have a bowel movement even after having a permanent ileostomy, which is a surgical procedure where the end of the small intestine is brought through the abdominal wall to create a stoma. This can be a bit confusing and uncomfortable, especially when nothing happens after sitting on the toilet. Here are some insights and advice that might help:

1. It's quite common to feel this sensation, and it's usually harmless. The rectum can still produce mucus, which might make you feel like you need to go. Many people with an ileostomy experience this from time to time.

2. Typically, this feeling becomes less frequent and urgent after about 3 to 4 months. However, some people might continue to pass mucus occasionally or even daily.

3. If you feel the urge, sitting on the toilet and gently trying to "push" can help relieve the sensation in a few minutes. Others find that simply waiting it out works just as well.

4. If you notice large amounts of mucus or blood, or if you feel the need to take pain medication, it's a good idea to talk to your surgeon or general practitioner. These could be signs of something that needs medical attention.

5. Be cautious with NSAIDs like ibuprofen, as they can irritate the rectal area and lead to inflammation. One person found relief from bleeding and increased urgency by stopping NSAIDs and using mesalamine suppositories.

6. For more detailed information, you can check out resources like Colostomy UK's guide on "Rectal Discharge."

Remember, it's always best to consult with your healthcare provider for personalized advice and treatment options.