Topic Explanation:
The discussion centers around a person who has experienced passing stools and gas from their back passage after having bowel surgery. They express fear of their bowel perforating again and seek advice on whether these experiences are normal.

Advice and Insights:

1. Passing stool after surgery can be normal as it might be leftover from the procedure. Mucus can also be passed, which is not unusual.

2. Passing gas through the back passage is less common but can occur. It might be due to trapped gas or other reasons such as a fistula. If it happens repeatedly, it should be checked by a doctor.

3. It is advised to consult with a stoma nurse or surgeon to understand the situation better and to ensure there are no complications.

4. Some individuals continue to pass gas or have the urge to do so even after surgery. This can be due to the body adjusting and the brain still signaling the urge to pass gas.

5. If there is pain or any unusual changes in the stoma or abdomen, it is important to see a doctor.

6. The presence of a rectal stump can lead to the production of gas by bacteria, which might be expelled occasionally.

7. The body and brain may take time to adjust post-surgery, and the urges to pass gas or stool may diminish over time.

8. The decision to remove the rectal stump and anus (proctectomy) varies based on individual health conditions and risks. Some people have it removed to avoid complications, while others retain it due to the risks involved in surgery.

9. It is important to maintain a sense of humor and adaptability when living with an ostomy, as the body can still present surprises even years after surgery.