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Discharge/stool from anus

Past Member
Posted by Past Member, on Wed Dec 28, 2011 5:36 pm
I had eliostomy in November 2011. So far, I experienced discharge from my anus about 5 times. Why? One time, it was real stool. other times, watery things. Sometimes, just gas. Did anyone experienced the same things? I do not understand. My anus is not connected to anything.
Any thoughts will be appreciated.
Past Member
Reply by Past Member, on Wed Dec 28, 2011 6:01 pm
Happyh9,

Welcome to the site.  There are lots of really good people here.  And, excellent information and sharing.

The first time the discharge happened to me I had no one to ask.  That is what brought me to this site.  When I learned that it is a fairly common thing I was pissed.  Why didn't anyone bother to tell me.  Many people have stome nurses - and they seem to be lifesavers for many.  I didn't have anyone.  

From what I have learned, they don't clean out what remains in the rectum.  And the rectum continues to produce mucus.  Some people have frequent discharge issues.  It has been rare for me.  

When I called my doctor all I was told was "see your physician".  

Try the search line and look for things like anal discharge and see what others have had to say in the past.  And I am sure others with more information and experience will respond.  There is a lot to learn and there are many of us here to offer our suport as you learn.
Reply by Ironmike, on Wed Dec 28, 2011 7:13 pm
This is common when the rectum remains intact after surgery. It is a lining mucus which enables discharge, but is not so nifty when nobody alerts us to it after surgery and it all of a sudden discharges unexpectedly. It happened to me after my first surgery.

My recommendation is to wear a pad. Usually, it's not voluminous and will diminish over time, but maybe not entirely. Granted, it's a nuisance and one more thing to worry about. My rectum was removed in a second surgery 6 months after the first one so that took care of that.

Can I presume you're a candidate for a j pouch for which purpose the surgeon leaves the rectum intact for further evaluation? He/she usually wants to see if it will be healthy for a j pouch connection. Mine wasn't so it was removed.

Can't tell you the long term prospects of it if you don't have further surgery. Maybe somebody is listening who has that experience.
Reply by bag_n_drag, on Wed Dec 28, 2011 8:24 pm
Happyh9-

I had an ileostomy in Dec. 2010 and had the same surprise when I got home!  Nobody told me, either, so it really freaked me out at first......I made an appt. with my colorectal surgeon who then told me it was normal and that enemas a couple times per week would keep it cleared out.  I've had my ileostomy for a year now and still do one of the Fleet Cleansing Enemas w/ Aloe (NOT the one for constipation!) every 5 days.  It keeps all that gunk cleared out and I do not have to worry about nasty discharge of any kind out of that area!  Mine would always leak out at night after I was asleep and my muscles relaxed and I would awaken to a mess!  I have no large intestine but I do have a rectum.  And, like Carol, I had no ostomy nurse to help so my hubby and I have been basically left to "wing it!" This site is a Godsend.      Darla
Past Member
Reply by Past Member, on Wed Dec 28, 2011 9:15 pm
thank you for info. My surgeon didn't warn me for this. I don't have a leak problems. No need to wear pads. I just feel the urge and go. It's surprising after one year, you still have a discharge! Could you tell me about enema you are doing? Is it good for rectum?

I am waiting for a reversal. How do they check the rectum if it's healthy or not? Is it like Sigmo? Do I sedated for this? If enema is important to keep healthy rectum for reversal, I would like to try. But if so, surgeon should have told me so to do??

Why yours was not healthy? Did disease spread? What was your initial reason for ostomy?

Beside having a healthy rectum, is there minimum length of rectum you need to create J pouch? Is there any requirement for reversal?
Reply by Ironmike, on Wed Dec 28, 2011 9:31 pm
Glad to hear you get ample notice for discharge. It was hit and miss for me.

My ileostomy was due to ulcerative colitis. First surgery removed the large intestine and left the rectum in hope for a j pouch connection. 6 months later the surgeon did a sigmo (no sedation) and told me the rectum was not healthy enough for reconnection and I would be a good candidate for rectal cancer if I didn't have it removed. Trusted his opinion and had the second surgery which ended any hope for a reversal. It's "until death do us part" now.
Past Member
Reply by Past Member, on Wed Dec 28, 2011 9:37 pm
Ironmike
Mine was UC, too. I was diagnosed in July 2011 and had the first flare up in August and had a colon removed in November. It happened all so fast. How long did you have UC?

Sigmo in rectum without sedation, was it painful?
Reply by Ironmike, on Wed Dec 28, 2011 9:48 pm
Had UC for 9 months and then it really flared up on me. Had first surgery in 2002 and the 2nd in 2003

Sigmo is only partial as he only has the rectum to look at. Didn't bother me at all.
Past Member
Reply by Past Member, on Wed Dec 28, 2011 9:58 pm
Thank you for your response.

If anybody knows about requirement for successful reversal, please do let me know. How should I prepare for it? I gained back all the weight I lost and I feel healthy. I have appointment with surgeon next month but I think he won't tell me much. I feel I get a lot more answers from this site.

Reversal is supposed to be done rapascopaly. (not sure the spelling...) Does he use the same incision? How will the ex stoma site look like after?
Reply by tess45, on Thu Dec 29, 2011 10:19 am
I had my rectum removed and I have an ileostomy - I get the discharge sometimes - however it is not solid waste - all liquid and foul smelling. My Surgeon told me that it was nothing to worry about in my case. It is also accompanied by the sensation that I have to have a bowl movement.  It is a big pain in the butt - but at least I can control when the discharge comes out.
Past Member
Reply by Past Member, on Thu Dec 29, 2011 11:21 am
It's comforting to know it's not only me! Thank you!
Reply by Ironmike, on Thu Dec 29, 2011 12:09 pm
That's "laparoscopic" and the same incisions are used.

Hope everything goes well for your reversal.
Reply by bag_n_drag, on Thu Dec 29, 2011 9:06 pm
                                 
Happyh9 wrote:
thank you for info. My surgeon didn't warn me for this. I don't have a leak problems. No need to wear pads. I just feel the urge and go. It's surprising after one year, you still have a discharge! Could you tell me about enema you are doing? Is it good for rectum?

I am waiting for a reversal. How do they check the rectum if it's healthy or not? Is it like Sigmo? Do I sedated for this? If enema is important to keep healthy rectum for reversal, I would like to try. But if so, surgeon should have told me so to do??

Why yours was not healthy? Did disease spread? What was your initial reason for ostomy?

Beside having a healthy rectum, is there minimum length of rectum you need to create J pouch? Is there any requirement for reversal?


My colorectal surgeon told me that doing the enemas periodically would help to keep the sphincter (sp??) muscle stronger and keep the area more toned than not....I am hoping that this will be of help once my reversal is done....perhaps I can hold things a little longer since I have been doing these and "holding them in" for a bit.

When they checked my rectum back in August, the doc stuck a long tube up there and looked around.  He said I have about 10 cm of rectum left and it is healthy.  I don't know what that procedure is called....I called it my "lube and tube!" Wink

My colon was not healthy only for a few weeks before it perforated in 3 places one night and I was wheeled in for an emergency ileostomy.  I really had no warning beforehand other than a few months of vomiting and low potassium.....I got to the point where I couldn't keep anything down and they would admit me for vomiting and low potassium but would always check the upper GI tract; NOT the lower one.  By the time I developed a blockage that they could "see" on an x-ray I was near death.  The surgeon said if I had come in 6 hours later, I would have been dead.  All the perforations caused severe sepsis; my white count was over 30k, both lungs collapsed and my kidneys started shutting down.  I was in the hospital for 6 weeks and lost 45 pounds.  I also had a grand mal seizure while in the hospital; the docs said it was my brain "rebooting" after all the trauma.

I don't know much about the J pouch as I am not having one constructed.  My surgeon plans to connect my small intestine to my rectum.  As I understand it, eventually I will have 5-7 loose bm's per day.  Imodium and psyllium husks will help to bulk things up a bit; and I will have to do this regimen for the rest of my life.  In the beginning, tho, I have read that I could "go" up to 20 times per day.  The more large intestine you have, the fewer and firmer the stool is....but, since I have no large intestine, the "loo" will be my best buddy for a while!

Hope this gives you a little insight....everyone is different and we all have a story. Smile

Take Care......Darla
Reply by Ironmike, on Thu Dec 29, 2011 9:17 pm
Always have been unfer the impression that a j pouch is always formed when the small intestine is connected to the rectum. You need a staging area if you know what I mean.
Reply by Xerxes, on Thu Dec 29, 2011 11:58 pm
Hi,

As others have said, the discharge is normal and will continue as long as you have what you have now. It is just a build up of mucus because that part of the gut that is left will produce a lot of it and constantly. As the mucus builds up it will eventually have to be discharged and is. It has nowhere else to go. Sometimes it is more liquid and other times more solid and yes, it it usually foul smelling as bacterial action does promote breakdown. It is not uncommon to occasionally feel severe bowel-like contractions as  if you have to defecate. This seems to come and go. I cannot speak for others, but I still get them albeit with less frequency than when I first had my ileostomy almost 33 years ago.

X_
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