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Aug 29, 2025

Hair Loss and Rectal Bowel Movement After Stoma Installation

This topic is about dealing with hair loss and unexpected rectal discharge after having a colostomy due to diverticulitis. Sandy, who had her surgery on May 21, 2025, is experiencing these issues and is seeking advice and reassurance.

Here are some helpful insights and advice:

1. Hair Loss
- It's quite common to experience hair loss after major surgery or trauma. This usually stops on its own as the body recovers.
- Hair loss can also be linked to malnutrition or poor nutrient absorption, even if your diet seems fine.
- Recommended actions:
- Get a full blood workup to identify and correct any deficiencies.
- Improve your overall nutrition and consider taking high-quality supplements.
- Consult a dermatologist for an evaluation and possible topical treatments.
- Use hair-strengthening products like specific shampoos and conditioners.
- Consider cutting your hair short or wearing caps to manage the appearance of thinning.
- Be aware that while some hair may not fully regrow, most people find that their hair eventually stabilizes.

2. Rectal Discharge After Colostomy
- This is often just intestinal mucus. The bowel continues to produce lubrication, which can look like stool.
- Occasionally, true stool can pass if the output is thick or if gas pressure forces it through.
- Such episodes might occur after certain procedures, like barium enemas, where substances can move in either direction.
- Management tips:
- Keep stool softer with daily use of products like polyethylene glycol.
- Use a weekly glycerin suppository and warm-water enema to clear mucus at a convenient time.
- Use Imodium if there is excessive liquid output bypassing the stoma.
- It's normal to experience mucus or occasional leakage, but if there are persistent changes, it's important to discuss them with your surgeon.

Sandy also expressed a desire for more information from surgeons in advance, as not knowing whether symptoms are normal can cause anxiety.
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