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Jun 22, 2018

Dealing with Persistent Pus Discharge: Seeking Advice

This topic is about dealing with a persistent pus or mucus discharge from the remaining rectum after ostomy surgery. While it doesn't cause pain, it can be quite messy, and people are looking for ways to manage or stop it. Here are some practical suggestions and insights shared by others who have faced similar issues:

1. Rectal irrigation:
- Use warm water and a syringe, like a baby bulb syringe, to flush out the mucus. This can help reduce odor, clear the passage, and provide relief for several days.
- Some people find it helpful to perform daily irrigation when the discharge is heavy and unpleasant, then reduce the frequency as the situation improves.

2. Absorbent protection:
- Wearing incontinence pads can help capture ongoing seepage.
- Since thick mucus absorbs slowly, placing a folded tissue or similar material against the anal opening can wick away fluid before it reaches the pad.

3. Surgical option:
- For some, elective removal of the rectum when forming a permanent colostomy has eliminated mucus leakage and greatly improved their quality of life. If the discharge is severe and persistent, consider discussing rectum excision with your surgical team.

4. Expectations over time:
- Over time, the discharge may decrease in volume, become clearer, and lose its odor, especially after the first year. As this happens, management routines can often be relaxed.
- Even if you still have your rectum and do not yet experience leakage, occasional irrigation might help prevent future buildup.
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