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Apr 06, 2018

Unexpected Rectal Bowel Movement Post-Colostomy

This topic is about experiencing unexpected rectal discharge after having a reversible colostomy. A person had surgery to remove a rectal tumor and received a colostomy, but they were surprised to have a bowel-like movement from the rectum, which their surgeon hadn't mentioned could happen. They are concerned and curious if this is a normal occurrence and if others have experienced it too.

Here are some helpful insights and advice:

1. It's quite common to have rectal discharge when the rectum is still intact, even if you have a colostomy or ileostomy. The lining of the rectum continues to produce mucus, enzymes, and intestinal fluids, which can build up and need to be expelled.

2. The frequency of this discharge can vary. Some people might experience it daily, even without a colon.

3. The sensation might feel like a strong urge to have a bowel movement, but what is usually expelled is mostly mucus and fluid, not actual stool.

4. It's better to let this mucus pass naturally rather than allowing it to harden, which might require the use of suppositories or other treatments.

5. Surgeons might downplay this issue, sometimes calling it “slight anal leakage,” which can leave patients unprepared for it.

6. Keep an eye out for significant bleeding, especially if you have a history of ulcerative colitis, as this could be a sign of diversion colitis. If you notice such bleeding, it's important to inform both your surgeon and gastroenterologist.
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