This topic is about someone who had colostomy surgery two months ago and is concerned about passing dark-red blood and clots from the rectum. Although the surgeon mentioned this could happen for a few weeks, the person is worried because it’s still occurring after two months. The blood is dark, indicating it’s not fresh, and there is no pain, but they are unsure if this is normal.

Here are some helpful insights and advice:

1. It's common for patients to experience rectal discharge, which can include mucus, old blood, and sometimes stool, for several weeks to months after surgery. The duration varies depending on how much of the rectum remains and how quickly the individual heals.

2. Since the timing can differ from person to person, it’s a good idea to contact the surgeon or ostomy care team to check if this prolonged bleeding is expected in this particular situation.

3. Dark or "old" blood can sometimes pool inside the body. If it stays too long, it might lead to an infection. One person even developed sepsis from retained surgical blood, so it’s important to have it checked out.

4. A practical tip for managing this issue is to use a glycerin suppository followed by a warm-water enema in the shower once a week. This can help clear out accumulated mucus and blood, making it easier to manage between clean-outs.

5. Occasionally, you might notice fresh blood, especially if you have conditions like Crohn’s disease. However, if you see any concerning changes, such as an increase in volume, bright red blood, pain, or fever, it’s important to report these to your doctor.

6. Finding the right balance with diet, timing, and routine can help keep rectal discharge to a minimum and make you more comfortable. It’s important to keep communicating with your healthcare providers to find what works best for you.