This topic is about the experiences and concerns of someone who has been living with a colostomy for a few months and is now facing some unexpected symptoms just before their scheduled reversal. They are experiencing rectal cramping, the urge to pass stool, hemorrhoids, and a watery discharge that seems invisible. These symptoms are causing worry, especially with the upcoming reversal.
Here are some helpful insights and advice:
1. The clear or slightly cloudy fluid is usually normal colon or rectal mucus. Even after a colostomy, the disconnected bowel segment continues to secrete this mucus.
2. The sensation often feels like an urgent need for a bowel movement. Sitting on the toilet and allowing the mucus to drain can help relieve the pressure.
3. The frequency of this mucus discharge can vary. Some people experience it regularly at first, like weekly or every few weeks, and then only occasionally. Episodes might also cluster after procedures like a colonoscopy.
4. To manage this, surgeons and stoma nurses often suggest:
- Using a soap-suds enema about every two weeks to flush out accumulated mucus.
- Trying a glycerin suppository as a simpler alternative when feeling full or pressured.
- Emptying as soon as you feel the urge to help avoid hard "mucus balls" that can form in the rectum.
5. Hemorrhoid discomfort can occur due to straining or pressure from the mucus, but it generally does not affect plans for reversal.
6. While the discharge can be alarming, it is considered part of the normal healing and adjustment process. However, consulting your surgeon or stoma nurse is encouraged for reassurance or if symptoms worsen.
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