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Oct 11, 2016

Rectal Discharge with Ileostomy - Common Experience

This topic is about understanding and managing rectal or mucus discharge after having an ileostomy. For those who have undergone this surgery and still have an intact colon, it's common to experience some discharge. This happens because the remaining colon and rectal stump continue to produce mucus, and sometimes even small amounts of stool. Here are some helpful insights and advice on this topic:

1. Discharge is common and usually harmless:
- It's normal for the rectal stump or colon to keep producing mucus.
- Experiencing sudden liquid discharge soon after surgery can be surprising, but it's generally expected.

2. What the discharge can look or smell like:
- It can appear clear, white-yellow, waxy, or watery.
- It may or may not have an odor, but larger volumes early on can have a strong smell.

3. Ways people manage or reduce it:
- Some find that rectal irrigation, which involves flushing the stump with warm water, helps control the volume and smell. After about nine months, one person no longer needed to irrigate.
- Incontinence pads can protect clothing, though some people with good sphincter control may not need them.
- Regular follow-ups, like flexible sigmoidoscopy, can check for inflammation. If mild inflammation is found, Mesalazine suppositories might be prescribed.
- For those with chronic drainage, bleeding, or pain, complete removal of the rectal stump and anus (permanent closure) can resolve the issue.

4. When to seek medical review:
- If you experience persistent bleeding, pain, or a change from mucus to bloody output.
- If there are any new or worsening symptoms despite reassurance.

5. Emotional reassurance:
- It's common for new ileostomates to feel anxious at first, but knowing that this is normal can help reduce anxiety.
- Community forums can provide support and validation, especially when medical teams offer minimal pre-operative explanation.
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