I still feel like I have need to have a BM

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Regular Member

Date Joined Sep 2010
Total Posts : 91
   Posted 10/3/2010 5:36 PM (GMT -6)   
Is this wierd or not.  I still feel like I have to have a bowel movement and it has been 2 months since I had my ileostomy surgery.  There is this clear mucus stuff that does come out sometimes.  Is that normal. I have noticed that the pressure is always when I am up and moving around.  It seems like I read somewhere that the urge to go was just a phycological thing.  Is this true? Is it all in my head?

Veteran Member

Date Joined Aug 2008
Total Posts : 5607
   Posted 10/3/2010 7:00 PM (GMT 0)   
     I know some people will say this is normal, but my surgeon said it is not.  I have the same feeling but my pressure is worse when I am sitting.  He left my anus intact but I wish he wouldn't have.  He said there are more complications when sewn shut but I sure have my share.  I have been back to him three times post op.  The second visit he drained an abscess from my anus.  Boy was that ever painful.  Now, I think it came back because I have the same pressure.  He is  hoping he will not have to put a drainage tube in me.  Are you male or female?  My mucus is coming out my vagina but my dr. said it is from the operation.  The day I came home from the hospital I felt like I had to urinate and all this horrible smelling gunk came out of me.  Then red stuff, which looked like what came out in my JP tube was coming out my vagina.  That stopped after a few days but then came back.  I had a CT scan of the pelvic and abdomen but that was clear.  He didn't see the abscess until he looked up there with the anuscope shocked
     Oh....my surgery was June 28th.

Regular Member

Date Joined Oct 2007
Total Posts : 318
   Posted 10/3/2010 7:00 PM (GMT -6)   
my surgeon told me that as long as the rectum is intact, mucus will build up and leak out or make you feel the need to have a BM and its perfectly normal. But you can also have "phantom" BM pains. But as far as I understand it, mucus is normal as long as its not a funky color.
-diagnosed with UC Dec 2006 at 22
-allergic or intolerant to all 5ASAs, sulfa and 6-mp
-emergency transverse colostomy on 9/13/10 from perforated colon
-Now IBD is indeterminate tests will be done after healing if still UC J-pouch surgery, if Chron's take down of colostomy

Regular Member

Date Joined Oct 2008
Total Posts : 262
   Posted 10/3/2010 7:31 PM (GMT -6)   
Yes it is absolutely normal.  I even had a bit of blood in mine at times...not a lot but abit.  Do you have a loop ileostomy? 

Regular Member

Date Joined Oct 2008
Total Posts : 262
   Posted 10/3/2010 7:32 PM (GMT -6)   
I forgot to add that I had alot of rectal pressure each time I passed mucous.  It felt much like a bowel movement. 

Veteran Member

Date Joined Jan 2007
Total Posts : 4147
   Posted 10/3/2010 8:19 PM (GMT -6)   

Yep totally normal! about a month after my ileostomy I got this huge urge to defecate rectally and I pooped out a whole cup full of mucous. I have my colon and rectum still intact and that is what makes the mucous. As time has gone on not as much has been produced and I have to do small enemas which don't help so I go for periodic suctioning with a sigmoidoscope.

If you get the urge to go rectally right after breakfast and there is no mucous, that is called (I think) the "gastrocolic reflex" it's the urge that is hardwired into ALL of our heads, litterally a brain-gut connection, that most of us get the urge to defecate after we first eat in the a.m. That is when I used to "go" anyway.

Hope this helps, Rosemary

Regular Member

Date Joined Sep 2010
Total Posts : 91
   Posted 10/4/2010 5:39 AM (GMT -6)   
yes I had a loop ileostomy, I am still waiting to see when the surgeon is going to reverse it, or what he is going to do. I have to go back for a colonoscopy, that will determine exactly what he does or if he sends me to another doctor.
One doctor says I had UC, another one says I don't. My colon was really bad, so they took out part of it. Just waiting to see I guess what the rest of it looks like when they go back in and do another c-scope. Oh and by the way I am a 51 year old female, although sometimes in the last 5 months I have felt 91...

2b ColonFree
Veteran Member

Date Joined Nov 2008
Total Posts : 2603
   Posted 10/4/2010 6:08 AM (GMT -6)   
i also feel the urge to have a bm. i have a loop ileostomy and my rectum is intact, so mucous is building up. i do enemas every 3-4 weeks, sometimes they help a little and some mucous comes out, sometimes the water i insert travels up and comes out through the stoma into the bag.... i hate enemas, wish i could have my rectum removed.
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy

Veteran Member

Date Joined Mar 2008
Total Posts : 624
   Posted 10/4/2010 8:19 AM (GMT -6)   
ditto - i had mucus/little poo when had my ileostomy - just now and then.  It got reversed 10 days ago and i sure wish i had it back again as i think i am constipated now as passing small blobs which in my book constitutes constipation?  though i am not eating much still.
Karen 48 years old
1997: Diagnosed IBS
2003: Pelvic Floor repair
2006: STARR surgery for mucosal prolapse/Obstruction/diagnosed slow transit constipation
2007: Sigmoid resection-partial volvulus resulting in worsening of colonic inertia (cleared obstruction though)
March 2009: Loop Ileostomy
23 Sept 2010: Ileostomy reversal

Regular Member

Date Joined Feb 2005
Total Posts : 421
   Posted 10/6/2010 12:01 PM (GMT -6)   
My rear end is sewn shut but I still have the urge. When I feel it I know a BM is not far behind and sure enough Oscar start's producing. Not weird at all.

RX Crohn's 1999, over 30 surgeries, 3 strokes, permanent colostomy and rectum removal.
"The most unfortunate thing that happens to a person who fears failure is that he limits himself by becoming afraid to try anything new."

New Member

Date Joined Mar 2012
Total Posts : 1
   Posted 3/7/2012 5:15 PM (GMT -6)   
I have had an ileostomy for 3 years now. At first I did have some mucous dishcharge from the rectum but it stopped after a few months. For the past year I have had some urges that feel like the need to have a bowel movement. The sensation is only in my rectum and I alway tried to stop it not knowing that the discharge after all this time can still be normal. For the last week or so I get that urge and sensation quite often that feels like I need to have a bowl movement but all that comes out is a little dischage or mucousy stuff. Is this normal and is there something I can do to make it let up. Its driving me nuts. Oh and how do you know if you have a loop ostomy. Mine can be reconnected but Ive opted not to do it.

Veteran Member

Date Joined Aug 2008
Total Posts : 5607
   Posted 3/7/2012 5:29 PM (GMT -6)   
     Hi Diana.  Well, I am 1 1/2 yrs post op.  I have had a bit of bleeding from the vagina but not as much as I once had.  My gyn doctor told me everything was fine and that it is due to dryness (I am 65 yrs old).  The past couple of weeks I have had the feeling like I need a bowel movement but wondered if it is just gas.  I have no colon or rectum.  My anus was not sewn closed and I still have, what I thought were hemmies but my surgeon referred to them as skin flaps, hanging out the anus...lol..oy.  I wondered if they are the culprits.  Sometimes I even have some itching.
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