Is rectal stool leakage normal after a colostomy at age 36?

Question

Hi doctor,

I am a 36-year-old female with no history of other medical conditions. I had transverse myelitis for four years. Three years ago, I had a colostomy. After that, I never had any problems. Last week, some feces leaked out of my rectum. I did not think much of it, as I know that sometimes there could be a mucus discharge, although I never had it. Last night it happened again, but it was more potent and had a stronger smell. I don't have any pain, and the bag seems to be filling as it should.

Should I be concerned?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

1. First of all, I would like to know the exact reason for making the colostomy. I am assuming it was because of transverse myelitis.

Still, if possible, kindly mention the exact type of colostomy done. It would be documented in your hospital records. Else send a good picture of the clean colostomy site (stoma) before applying the bag.

2. The problem you are describing can happen in the following case. If the colostomy is of a diversion loop type, then the large intestine (colon) is not completely divided into two ends. So, just one sector of the colon circumference is brought out to form the colostomy site, with the rest of the circumference intact.

3. Uncommonly, over time, there can be a recession of the back wall of the colon into the abdomen so that the intestine gets partially straightened out, and then the stool can enter the rectal part of the large intestine. Thus, stool can come out of the anal opening.

4. There are some other sinister possibilities that are better discussed only after knowing the details of the operation type and the reason for making the colostomy. Otherwise, they can create unnecessary anxiety.

So, you need to visit your doctor to assess whether you still need a colostomy or if it can be closed. You need an examination of the stoma site and then decide on further therapy. It may require revision surgery or conversion to some other type of colostomy.

I hope this helps.

Thank you.