Rectal discharge

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picklechic
Regular Member


Date Joined Feb 2008
Total Posts : 32
   Posted 12/6/2008 9:13 PM (GMT -6)   
When my 3 year old had her colectomy surgery done, the surgeon told us that some rectal discharge is normal. But lately she's had several (4 or 5 in as many days) loose stools from her rectum with blood that she has no control over and says do not hurt her. Is this normal? How much discharge (although to me it's not discharge but actual stools) is ok? My daughter is having j-pouch surgery in March. We're calling the dr. on Monday to check, I was just curious if any of you have dealt with this. Thanks in advance! 
 
 


Kimberly
Mom to 3 year old daughter with UC and XY Turner's Syndrome
dx. 1/08, s/p total colectomy with ileostomy 8/13/08
J-pouch surgery in 2009
 

Post Edited (picklechic) : 12/6/2008 8:25:19 PM (GMT-7)


tbraz
Regular Member


Date Joined Jul 2007
Total Posts : 280
   Posted 12/6/2008 9:46 PM (GMT -6)   
This is completely normal and can happen several times a day. It really surprises me that surgeons forget to tell patients about this as it can really freak us out. I had a bloody mucous discharge from step 1 to 2 and didn't have any problems after step 3-takedown.
Theresa

Originally diagnosed with CD in 1991
Now saying "Undetermined Colitis"
Total colectomy August 10, 2007 -2nd step J-pouch formation -January14, 2008 -3rd step -April 14, 2008


picklechic
Regular Member


Date Joined Feb 2008
Total Posts : 32
   Posted 12/6/2008 9:52 PM (GMT -6)   
Thanks! The surgeon did tell us. I just wasn't sure what frequency of it was normal. I assumed it wouldn't be very often, but it seems to be happening a lot more lately and becoming more frequent. It's not really mucuous discharge either though, it's actual loose stool. Does that sound normal too?
Kimberly
Mom to 3 year old daughter with UC and XY Turner's Syndrome
dx. 1/08, s/p total colectomy with ileostomy 8/13/08
J-pouch surgery in 2009
 


Shaz032
Forum Moderator


Date Joined Feb 2003
Total Posts : 1246
   Posted 12/7/2008 5:00 AM (GMT -6)   
Yep, since your daughter probably has a loop ileo in readiness for her j pouch, it's completely normal. Stool from the bag can get into the 'non-working' stoma aka mucous fistula stoma and out via rectum and anus. Scary if you're not told it can happen, but completely harmless.
I have had an ileostomy for 32 years now due to UC.
 
Moderator of the Ostomy Forum
_______________________________________________
 
I'm not a complete idiot - some parts of me are missing!


picklechic
Regular Member


Date Joined Feb 2008
Total Posts : 32
   Posted 12/13/2008 9:24 PM (GMT -6)   
Thank you for your advice. Unfortunately, the discharge is now full on blood, no poop, and a good bit of blood at that. So the surgeon's nurse thinks she most likely is having a flare in her rectal stump. We are waiting to talk to the surgeon next week.  Has anyone else ever dealt with this? What was recommended as a treatment?
Kimberly
Mom to 3 year old daughter with UC and XY Turner's Syndrome
dx. 1/08, s/p total colectomy with ileostomy 8/13/08
J-pouch surgery in 2009
 


tbraz
Regular Member


Date Joined Jul 2007
Total Posts : 280
   Posted 12/14/2008 5:10 PM (GMT -6)   
Between my surgeries, I still had UC in the remaining rectal stump which caused the bloody discharge, but I also had painful spasms when emptying and tailbone pain. Since I had pain and you said that your daughter didn't I assumed that hers was just the normal bloody/mucous discharge.

I tried B&O suppositories, canasa suppositories, cortifoam enemas and finally prednisone for a couple weeks which did help, but I couldn't take it for a long period of time before surgery. Hopefully they can come up with something less evasive to decrease the amount of blood.

I would think that as long as your daughter is not suffering or losing too much blood (they need to check to make sure she's not anemic) they can hold off until the final surgery. All my symptoms went away after my takedown surgery.

I hope you can get some answers when you talk to your daughter's surgeon.
Theresa

Originally diagnosed with CD in 1991
Now saying "Undetermined Colitis"
3 step Jpoucher as of 4-15-08

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