This topic is about managing mucus production after having a colostomy while the rectum is still in place. The main concern is whether rectal irrigation is a long-term necessity or just a temporary solution. Here are some insights and advice shared by others who have experienced similar situations:

- Purpose & Frequency
- Many people choose to irrigate or use mini-enemas only when they feel pressure, notice an odor, or have difficulty passing mucus. The frequency varies from weekly to monthly or simply as needed.
- Some have been using mini enemas for many years and are considering whether they can stop and let the mucus exit naturally.

- Alternatives to Irrigation
- Using a glycerin or similar suppository weekly can help clear mucus. This usually results in a normal urge to evacuate rather than passive leakage.
- In cases of foul odor, which might suggest a local infection, some surgeons recommend adding crushed antibiotics to the irrigation water.

- Technique Variations
- Traditional gravity "cone and bag" systems might not work well for thick or foul-smelling mucus.
- Some have adapted urinary catheters to a shower hose for higher-pressure irrigation, which helped clear mucus within 6–9 months, after which irrigation was no longer needed.

- Outcomes
- Some people have noticed a decrease in mucus production or a change to odor-free mucus over time, allowing them to stop irrigation.
- Others find that they need to continue with intermittent flushing because mucus build-up and pressure return if they stop.

- Cautions
- Modifying irrigation equipment and using higher water pressure can be risky, and these methods might not be endorsed by medical professionals.
- When trying suppositories or enemas for the first time, make sure you have enough time at home to see how your body responds.