This topic is about someone who had their rectum removed and now has an ileostomy. They are experiencing a lot of rectal discharge, which is concerning because they expected only a small amount of mucus. They are seeking advice while waiting for a referral to a specialist.

Here are some helpful insights and advice:

1. After contacting a colorectal nurse, they found out that since their surgeon has signed them off, they need a new referral from their GP, which might take some time. They are looking for practical self-help ideas or experiences from others who have faced similar issues.

2. There might be a small sinus, or cavity, at the surgical site:
- This can happen if the area where the rectum and anus were removed doesn't heal completely.
- It can collect mucus, fluid, dead tissue, and blood cells, which then drains through a tiny opening, causing persistent discharge, dampness, soreness, and pressure.

3. Diagnostic and treatment suggestions include:
- Requesting an MRI to find and measure any sinus tract.
- Consulting a plastic surgeon who can clean the sinus surgically and close it with a tissue flap, which can help with healing and comfort.

4. It's reassuring to know that some level of discharge is common after a proctectomy. However, if the discharge is heavy or has a bad smell, it's important to get a medical evaluation to rule out a sinus and prevent ongoing irritation.