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Sep 24, 2024

Rectal Discharge After Hartmann's: Is It Normal?

This topic is about the experiences and concerns someone might have after undergoing an emergency Hartmann’s procedure, particularly regarding rectal mucus and unexpected bowel movements, often referred to as "ghost turds." Here are some insights and advice based on shared experiences:

- After a Hartmann’s procedure, it's common to feel rectal pressure and pass mucus from the rectal stump. This can include the urge to void, liquid mucus, small pellets, or even "ghost turds."

- While many people experience these symptoms soon after surgery, an 8-week delay is less typical. It's a good idea to reach out to your surgical team if this happens.

- The mucus can vary in color and consistency, ranging from clear, white, or putty-like to pink. Small streaks of blood have been reported and are generally considered normal by surgeons.

- Most people find that mucus exits on its own without needing enemas or suppositories. However, if you feel uncomfortable pressure or suspect retained stool, an enema might help, but always follow your doctor's advice.

- If you pass large pieces of stool weeks after surgery, it might mean the rectal stump wasn't completely cleared before it was stapled. It's important to inform your care team if this happens.

- To manage ongoing mucus leakage, consider using long sanitary pads or high-back "period underwear" to protect your clothing. This can be more comfortable than frequent pouch changes or worrying about stains.

- If you experience persistent or suddenly increased discharge, pain, or bleeding, it's crucial to report these symptoms to your colorectal surgeon. This will help rule out any complications and assist in planning for a possible reversal.
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