This topic is about someone who has been living with an ileostomy for two years and is concerned about the occasional urge to pass stool rectally. Initially, they could pass stool this way after surgery, but it has been a long time since the last occurrence. They are worried about the potential pain and are unsure if using an enema would help or cause harm. They are seeking advice on how to manage this situation.

Here are some helpful insights and advice:

1. Enemas:
- Enemas are often recommended for this situation and are generally considered safe. However, since products can vary, it's best to consult with a stoma nurse or a knowledgeable healthcare provider before choosing one.
- There are detailed discussions in the forum's Premium Content section about specific enema products that others have tried.

2. Oral Medications:
- Some users have found that over-the-counter stool softeners, laxatives, and even cold medicines can irritate the stoma and surrounding skin or change the output in the pouch. It's important to be cautious with any oral medication.

3. Diet Strategies to Keep Output Soft and Reduce Pain:
- Try eating small amounts of food throughout the day, like granola, milk, and juice.
- Keep main meals modest, such as a single serving of hamburger, chicken, or pork.
- Hydrating foods and drinks like V8 juice, watermelon (or watermelon juice), and sweet potatoes can help keep the output loose and comfortable. These foods are also nutrient-rich.
- Eating smaller, more frequent portions can lead to smaller, less painful rectal discharges.

4. Normality of Occasional Rectal Passage:
- A surgeon has mentioned that it is normal for many ileostomy patients to still pass mucus or small amounts of stool rectally. This is because a portion of the intestine and rectum may still be in place, so occasional urges and movements are expected.