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Nov 01, 2013

Passing stool from rectum after ileostomy surgery - need advice!

Topic Explanation:
The discussion revolves around the experience of passing stool from the rectum after undergoing ileostomy surgery. The original poster is seeking advice and clarification on why this is happening, especially since they were informed by their surgeon that they might occasionally pass mucus, not stool. They are concerned about the frequency of these occurrences and are looking for insights from others who might have experienced similar issues.

Extracted Advice and Helpful Insights:
1. Normalcy of Mucus and Stool Passing Post-Surgery:
- It is common for individuals with a remaining rectum after surgery to pass mucus and occasionally stool. This happens because the cells in the rectum continue to produce mucus, which accumulates and is eventually expelled.
- Experiencing this is not unusual and is often not a cause for concern unless the frequency or nature of the discharge changes significantly.

2. Management Techniques:
- Some individuals manage mucus discharge using homemade solutions like inserting a tissue rolled and coated with Vaseline into the anus to absorb mucus.
- Others use absorbent pads or gauze to manage the discharge effectively, especially during activities like golf where they are away from home for extended periods.

3. Medical Interventions and Observations:
- In cases where there is an increase in mucus or blood, it is often related to conditions like diversion colitis, which is inflammation in the colon due to diverted stool flow. This can sometimes be managed with antibiotics if infection occurs.
- Using medications like IMODIUM has been noted to reduce the frequency of discharge, although this is not universally recommended by doctors.

4. Skin Care Around the Stoma:
- Proper skin care is crucial for comfort and prevention of irritation. Suggestions include using warm water and a soft cloth for cleaning, applying ostomy powder, and using no-sting skin prep sprays to enhance wafer adhesion.
- Products like Geritrex Compound Benzoin Tincture have been recommended to help heal the skin and improve wafer adherence.

5. When to Seek Medical Advice:
- If there is a noticeable increase in the frequency of stool passing, changes in the nature of the discharge, or if blood is observed, it is advisable to consult a healthcare provider to rule out complications or the need for treatment adjustments.

6. Personal Experiences and Adjustments:
- Individuals have shared that they were not fully informed
See full discusison
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