Mucus from the stoma
Mucus discharge is a normal part of having a stoma.
The lining of the bowel naturally produces mucus to help move waste along. Even after stoma surgery, this lining continues to produce mucus, even though it is no longer needed in the same way.
Because mucus often mixes with stool, it may not always be noticeable in the pouch. For people with a urostomy, it can be easier to see, as it appears in otherwise clear urine.
It’s also common for mucus production to be higher in the first weeks or months after surgery, before gradually settling down.
However, if you notice a sudden increase in mucus, this can sometimes be linked to a urinary tract infection, particularly with a urostomy. If this happens, it’s a good idea to speak with your stoma care nurse or GP.
Small adjustments that may help
Some people find that certain changes can help reduce mucus levels.
For example:
- Increasing vitamin C intake
- Drinking cranberry juice (please note: do not take cranberry if you are on warfarin)
These approaches may help, but it’s important to avoid cranberry products if you are taking warfarin.
Discharge from the rectum
If your rectum and anus remain in place after surgery, it is possible to experience discharge from the bottom. This is known as rectal discharge.
This can happen after a colostomy, and also after an ileostomy if part of the large intestine is still present. The likelihood of this happening often depends on how much of the bowel remains.
The discharge is usually mucus, and it can vary in appearance. Some people notice a clear, jelly-like consistency, while for others it may feel thicker or more sticky.
In some cases, mucus may pass naturally. In others, it can build up and form a small lump, which may cause discomfort until it is released.
If you notice blood or pus, this is not considered typical and could suggest infection or irritation. In this situation, it’s important to seek medical advice.
Ways to manage rectal discharge
There are a few practical steps that can help make rectal discharge easier to manage.
- Responding to the natural urge to open your bowels can help prevent mucus from building up
- Sitting on the toilet regularly and gently pushing (without straining) may help release mucus
- Avoiding strain is important, as excessive pressure can affect the pelvic floor
If the sensation of needing to pass mucus is reduced, your stoma care nurse may suggest further support.
Some people may also be advised to use glycerine suppositories, which help make the mucus softer and easier to pass.
Discharge from the skin around the stoma
It’s also important to pay attention to the skin around your stoma.
When checking your peristomal skin, you may notice signs such as redness or irritation. Alongside this, it’s important to look for any discharge coming from where the stoma meets the skin.
If you notice discharge that:
- Appears bloody
- Has an unpleasant or unusual smell
This may be a sign of infection. In these cases, it’s best to speak with your stoma care nurse for advice.
Knowing when to seek support
Many types of discharge are a normal part of living with a stoma, especially in the early stages after surgery.
At the same time, it’s important to trust your instincts. If something changes suddenly, feels uncomfortable, or doesn’t seem quite right, it’s always okay to ask for advice.
Your stoma care nurse and healthcare team are there to support you — whether it’s reassurance or help managing a concern.
Feeling more confident over time
Understanding your body takes time. What feels unfamiliar at first often becomes easier to recognise and manage.
By learning what is normal for you, and knowing when to reach out for support, you can feel more confident in your daily routine — and more at ease with the changes your body has gone through.