This topic is about understanding whether it's normal to experience occasional rectal gas and discharge after having an ileostomy or colostomy. If you've had this type of surgery and are wondering about these occurrences, here are some helpful insights and advice:

1. Common, usually harmless explanation:
- After an ostomy, the rectal stump, if left in place, can still produce mucus. Bacteria in this mucus might ferment and create gas, which can be expelled through the anus.
- Air can also be introduced externally, such as when sitting, and may later escape.
- Many people with ileostomies or colostomies report occasional rectal gas or the urge to defecate, which generally decreases over time.

2. When to seek medical review:
- If you notice a significant increase in mucus or frequency of discharge, it might indicate persistent or returning colitis in the retained rectum. It's a good idea to consult a gastroenterologist or surgeon.
- Seek immediate medical attention if you experience continuous pain, fever, nausea, swelling, true fecal output from the rectum, or if there's no output from the stoma, as this could suggest an obstruction.

3. Normal variations in sensation:
- Even if the anus or rectum has been removed and sewn closed, some people might feel phantom sensations of needing to pass stool or gas. If actual gas passage occurs in such cases, it's best to discuss it with a physician.

4. Post-operative guidance for new ostomates:
- In the initial weeks after surgery, small amounts of mucus or even a bit of stool might exit the rectum as the small bowel adjusts.
- If there's no output into the pouch and you experience rectal stool or gas, it could indicate a partial blockage, and you should contact your surgical team promptly.

5. Enema/cleansing questions:
- Some surgeons might recommend an occasional Fleet® enema to clear retained mucus, while ostomy nurses might advise against it. It's important to follow the specific instructions given by your surgeon or ostomy nurse.