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Feb 27, 2025

Unexpected Bowel Movement After Colostomy: Is This Normal?

Topic Explanation:

The discussion centers around an individual who has had a colostomy for nearly five months and recently began walking 8 km (5 miles) daily. They experienced an unexpected bowel movement that resembled feces but lacked the typical odor. The individual speculates it might be old scarring tissue from surgery being expelled due to increased physical activity and seeks advice on whether this occurrence is normal.

Advice and Insights:

1. Normalcy of Bowel Movements Post-Colostomy:
- It is common for individuals with a colostomy to experience small bowel movements occasionally. This can be due to bacteria in the large bowel that maintain its health.
- The rectum and any remaining attached parts can still slough off skin cells and mucus, which may be expelled periodically.

2. Nature of the Discharge:
- The discharge could be hard mucus, which sometimes appears more solid and darker in color. This is considered normal and not typically a cause for concern.

3. Impact of Physical Activity:
- Increased physical activity, such as a new walking routine, might influence the frequency or nature of these discharges, but they are generally not problematic.

4. When to Seek Medical Advice:
- If the discharge continues, increases in amount, or causes problems, consulting a doctor is advisable. There are potential resolutions if it becomes problematic.

5. Understanding of Rectal Stumps:
- Many individuals are not informed about the potential for small bowel movements post-surgery, especially if they have a rectal stump from a Hartmann's procedure. This can lead to unexpected occurrences of bowel movements.
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