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Nov 16, 2025

What's this coming from my bum?

The topic at hand is about experiencing rectal mucus discharge after having an ileostomy, which is a surgical procedure where the small intestine is diverted through an opening in the abdomen. This can be a common concern for those who have undergone this surgery, especially when part of the colon has been removed. Here are some helpful insights and advice on this topic:

1. It is quite common and usually harmless to pass thin or thick mucus from the rectum after an ileostomy or colostomy. The color and consistency of this mucus can vary.

2. The frequency and timing of this discharge can differ for everyone. Some people may feel the urge to "poo" occasionally, even years after the surgery, while others might not notice it much at all.

3. Normal mucus can range in color from clear to dark-brown and might even look similar to stool.

4. If you notice blood, a sudden increase in the amount of discharge, experience pain, or have other concerning symptoms, it is important to contact your surgeon or stoma nurse.

5. The remaining colon and rectum continue to produce mucus because they are still active, even though the stool is diverted. This can lead to unexpected discharges, sometimes humorously referred to as "Fartlettes," "Turdlettes," or "Pooplettes."

6. Discharge might happen while urinating or without any warning. Using a panty-liner or pad can help maintain comfort and hygiene.

7. For those with permanent ileostomies, some choose to have a complete rectal closure, often called a "Barbie Butt," to prevent future discharge and urgency.

8. Exploring forum threads with relevant keywords can provide more firsthand experiences and coping strategies from others who have been through similar situations.

9. Many long-term ostomates, ranging from 6 months to 9 years post-surgery, offer a warm welcome and reassurance to those new to this experience.
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