This topic is about dealing with rectal discharge and skin irritation after having a permanent ileostomy. Even though the entire colon has been removed, the rectum is still in place, which can sometimes lead to unexpected symptoms like discharge and irritation. Here are some helpful insights and advice shared by others who have experienced similar issues:

1. Seek medical review: It's important to consult with a surgeon or gastroenterologist if you notice red discharge or bleeding. These symptoms need to be checked to rule out any infections, inflammation, or other serious conditions.

2. Normal vs. abnormal discharge: While some discharge and irritation can be normal for a few months after surgery, persistent symptoms or the presence of blood should be investigated further.

3. Consider rectal stump removal: Some people have found relief from discharge and skin problems by having the remaining rectal stump surgically removed and closed. It might be worth discussing this option with your surgeon.

4. Symptom-relief products and medications:
- Continue using Critic Aid Barrier Paste for skin protection.
- Hydrocortisone Canesten cream can help with perianal soreness and fungal irritation, but it requires a prescription.
- Salofalk (Mesalazine) suppositories may reduce rectal inflammation.
- Psyllium husk, a bulk fiber, can help thicken residual mucus, absorb fluid, and ease its passage. You can find it in bulk at health-food stores.

5. Dietary considerations: Some people have noticed that large meals can worsen discharge and bleeding. Eating smaller, more frequent meals might help manage these symptoms.

6. Cushion advice: Avoid using donut cushions, as they can concentrate pressure on the anal area and potentially worsen skin issues.

7. Resource suggested: A wellness reference, www.candidacleanser.com, was mentioned, though no specific product endorsement was provided.