This topic is about someone who had a pancolectomy 18 years ago and later a total hysterectomy. Recently, she has started experiencing some new sensations, including:

- A feeling of heaviness and pressure in the anal-stump area.
- A slight pulling sensation just below the ileostomy.

She has scheduled MRI and CT scans to investigate these sensations and is wondering if they might be caused by an enterocele, which is a herniation of the small bowel into the pelvic cavity.

Here are some pieces of advice and insights shared by others:

1. Many people think that an enterocele or another type of pelvic-organ prolapse could be the cause. One person shared that their surgeon discovered a loop of small intestine had dropped behind the uterus. After a hysterectomy, there can be extra space that allows the bowel to descend. Imaging tests should help confirm the diagnosis.

2. The symptoms, such as pressure and pulling, often improve over time. However, if they continue to be bothersome, discussing pelvic-floor Botox injections with a surgeon might be an option.

3. Pelvic descent can lead to additional issues, such as pain during sex, difficulty with Pap smears, and a constant urge to pass stool. These problems are often made worse by scar tissue.