Post Op Discharge after j-pouch formation

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GoHeels23

I am 2-weeks post op from my 2nd surgery to form j-pouch and to complete total colectomy and I have loop ilestomony.

I've had excellent recovery but the last 4-5 days I've been experienceing frequent trips to bathroom for discharge from anus of liquid maroon in color discharge (prob 6-8 x 's a day)as well as normal output from ilestomy.

Is this normal? Or should I be concerned?

My surgeon says it's normal but I think this often is not normal.

UC 2007
Tried all Meds (Oral, Infusions, etc.)
Multiple hospitalizations (steroids/transfusions, etc.)
J-Pouch (3-Step (1st 7/28/12, 2nd 12/28/12, takedown?)

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skn69Member

Pretty much as normal as it gets...there will be a bit of discharge in the begining...then it tapers off and slows down...finally it stops...as long as the discharge is brownish and not red then it is just mucous and old blood...Is there a fever? Pain? Puss? If there is no 'unusual' tenderness, no blood or fever then just allow it to dry up on its own. It will stop in a while.
Sharon

1/13/1312:15 PM

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GoHeels23Member

Thanks for reply...I feel as if there may be some blood, but spoke to surgeon this am and he wants me to begin vitamin with iron to avoid anemic episode...I hope tapers off soon.

As you stated in response I feel like I've been through enough already.

1/13/131:04 PM

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Jan DollarModerator, RN, retired

Dark red stool is indicative of either breaking down of clotted blood that is nearby, or bleeding further upstream. If this continues at the same frequency, you will need to be examined. It is possible you have a "bleeder" in there that needs to be cauterized. Also, this could be cuffitis (inflammation of the retained rectal cuff), which may need topical treatment. So, keep monitoring this and call your surgeon back if it doesn't begin to deminish in a day or two. Also, if you develop symptoms of rapid heart rate, shortness of breath, dizziness, paleness, you may need a transfusion.

Jan

1/13/131:32 PM

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TE MarieMember

One benefit of passing this waste now is you learn you can control/hold it before going to the loo. This means your going to be ok when they do the take down surgery!

1/13/136:55 PM

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rszMember

The discharge will not completely stop, it should change to just mucus. The intestine used to form the jpouch will still produce mucus so you will have to occasionally empty it. Also with a loop ileostomy there still may be a small amount of stool making it into the pouch.

1/15/1310:10 AM

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