Topic Explanation:
The discussion centers around a person with a loop ileostomy experiencing a hard mucus buildup in the rectal area, causing discomfort and a sensation of needing a bowel movement. Despite attempts to manually remove the mucus, it remains difficult to expel due to its high position and lack of sensation. The individual seeks advice on managing this issue.

Advice and Insights:

1. Mucus buildup in the anal stump is common after ileostomy surgery. It can be particularly problematic in the first year post-surgery.

2. One method to address mucus buildup involves using adapted anal catheters connected to a showerhead to irrigate the anal stump. This method uses water pressure to dislodge mucus without damaging tissue. However, it carries risks, such as potential puncture of the colon lining, and should ideally be performed with medical supervision.

3. Some individuals have experienced similar issues and have been diagnosed with conditions like Diversion Colitis. Treatments such as Dicyclomine (Bentyl) and Short Chain Fatty Acid enemas have been suggested, though they may not be covered by insurance.

4. Enemas can be effective in clearing mucus buildup, though they may be painful and require anesthetic gel. This method can result in the expulsion of significant amounts of congealed mucus and blood.

5. Some people have been advised to consider surgical options, such as removing the large intestine, though this is a more invasive procedure.

6. Cortisone enemas have been prescribed to manage mucus buildup and associated discomfort.

7. Physical therapy for related issues, such as a tight psoas muscle, has been suggested as a potential way to alleviate discomfort.

8. The importance of consulting with healthcare professionals for personalized advice and treatment plans is emphasized, as self-treatment carries risks.

9. Some individuals have resorted to using enema bags for irrigation instead of showerheads, though this can cause irritation over time.

10. There is a shared sentiment that medical professionals should provide more guidance and treatment options for managing mucus buildup post-ileostomy.