This topic is about a person who recently had surgery to reverse an ileostomy, repair a hernia, and create a new colostomy. Four months after the surgery, they noticed some changes around their stoma and are seeking advice and reassurance. Here’s a breakdown of the situation and some helpful insights:

- The person had a reversal of a 3½-year ileostomy, a repair of a parastomal hernia, and a new colostomy created on the left side. Everything was going smoothly until recently.

- They observed a watery, mucus-like discharge from the stoma, which forms bubbles inside the pouch, and noticed some swelling around the stoma's exit opening.

- Despite these changes, the output remains solid, and there is no pain. The person is understandably concerned and is asking if others have experienced similar issues and what they should do.

Here are some insights and advice that might help:

1. The clear, watery fluid is often just the intestine’s natural mucus or lubricant. It can appear when the appliance is off, and it’s usually nothing to worry about.

2. Swelling around the stoma can happen from time to time. It might be caused by certain foods, like a large amount of nuts, or trapped stool or gas. This swelling often resolves itself after a larger output.

3. There are some warning signs that should prompt a visit to the hospital, not just urgent care. These include the stoma turning grey, black, or another unusual color, persistent severe pain or fever, or a complete blockage with no output.

4. Watery bubbles in the pouch are usually a sign of gas. If there is no pain and the output is normal, it’s generally harmless.

5. A practical tip for consultations is to take a photo or video of the stoma during a change when the issue appears. This can be shown to a surgeon or stoma nurse for reassurance or further assessment.