This topic is about a new ostomate who has noticed some blood in their pouch output for the first time. They are hoping it's just surface bleeding from the stoma and not something more serious like internal bleeding. They are also feeling anxious about an upcoming colonoscopy and are seeking reassurance from others who might have experienced similar concerns.

Here are some helpful insights and advice:

1. It's quite common for a stoma to bleed a little. The stoma is very vascular, meaning it has a lot of blood vessels, so it can bleed easily if it's bumped, rubbed, scratched, or even accidentally swiped by a fingernail.

2. Try changing your pouch to see if fresh blood appears again. If the bleeding stops after the change, it was likely just surface trauma.

3. Pay attention to the amount and appearance of the blood. Small smears or spots usually indicate external irritation. However, if you notice a larger volume or continuous blood in the output, it's important to seek medical advice promptly.

4. Note the color of the blood. Bright red blood on the stoma surface usually suggests external bleeding, while darker or mixed blood in the output might indicate an internal source.

5. Be sure to mention the bleeding during your scheduled colonoscopy. This will help ensure you get the reassurance and proper assessment you need.