Published Aug 1, 2010
optimusgts
7 Posts
I had a pt. with left side colostomy and with a rectal tube and I could'nt figure out why there is still an output on the rectal tube. can anyone help me with this. I appreciate the comments.
neutrophil
87 Posts
All I can say is wow!!!
BackfromRetirement
258 Posts
It is not always unusual to have a rectal discharge even with a colostomy, it happens sometimes.
MBARN
145 Posts
Seems like overkill to me!
MBARN, 100% agree, my goodness, briefs, diapers, depends, pullups, or just a simple chucks. Anyway. Overkill.
mamamerlee, LPN
949 Posts
The output is probably just mucus. Will it be reattached sometime soon?
pawashrn
183 Posts
What I am thinking is that the colostomy may be high in the colon and the physician is going to re-anastomos later and is letting the excrement be released and is relaxing the lower portion of the colon. Does this pt. have c-diff or colitis?
pt. has severe dcubitus ulcer. it his post-op 3 with 40-50 ml of liquid stool in rectal tube.
K+MgSO4, BSN
1,753 Posts
did this pt have an emergency procedure?(hartmans??) if there was no bowel prep that may explain why there is PR loss but why the tube I can not understand.... the bowel doesn't need compressing sincer there is no communication with the rest of the intestine.
A once off PR evac will clear whatever is left in the post resected area. 7 day old stool on a colostomy pt has a certain whiff rotten food and malena like odour mixed. Blurgh!
GM2RN
1,850 Posts
The rectal tube is probably in place to keep stool/mucous away from the decub and keep the pt as dry as possible.
kids
1 Article; 2,334 Posts
pt. has severe decubitus ulcer. with 40-50 ml of liquid stool in rectal tube. post-op day 3.
The the recal tube isn't overkill, it's keeping the wound clean and dry.
Some people with a colostomy evacuate mucus from the rectum forever, any intact intestinal mucosa below the colostomy continues to fo what it's made to do- produce mucus.