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Apr 22, 2025

Is Rectal Bleeding Normal After Colostomy Surgery?

Topic Explanation:

The discussion centers around concerns of rectal bleeding following colostomy surgery. The original poster, who is about five weeks post-surgery, experienced a hard stomach, a sensation of needing to pass gas through the rectum, and noticed brownish blood on toilet paper. They are seeking advice on whether this is normal or if they should seek medical attention.

Advice and Insights:

1. Consult a Doctor:
- Multiple participants recommend seeing a doctor to ensure safety and peace of mind.
- It is advised not to assume the symptoms are normal without professional consultation.

2. Normal Mucus Passage:
- It is normal to experience mucus passing through the anus post-colostomy due to the rectal stump still producing mucus.
- Mucus helps lubricate the colon and can accumulate, leading to occasional expulsion.

3. Potential Causes of Bleeding:
- Dried-out mucus can cause discomfort and bleeding when expelled.
- Diversion proctitis can occur after a couple of years due to inflammation from the lack of stool, leading to bleeding.

4. Early Post-Surgery Symptoms:
- Experiencing such symptoms is not uncommon in the early weeks post-surgery.
- It is important to discuss these symptoms with healthcare professionals for reassurance.

5. Personal Experiences:
- One participant shared a similar experience where a polyp caused bleeding, suggesting not to worry until a professional evaluation is done.
- Another participant mentioned that reversible colostomies might have staples that allow gas or stool to slip through, which can cause similar symptoms.
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