A normal budding stoma should be healthy pink/red in color which indicates adequate perfusion, but a dusky looking stoma should be questioned and surgeon should be notified. A dusky stoma could mean ischemia, their is inadequate tissue perfusion and oxygenation, if not corrected, it can lead to mucosal sloughing and necrosis/death of tissue. When patient continue to ask for pain medication for persistent abdominal pain, nausea and vomiting, a GI warning sign that something is wrong calls for a re-look. Non healing wound due to lack of circulation will be imminent. A good stool output mean a functioning bowel, presence of a slough could also mean dead tissue from surgical injury. Once the slough falls off, a pink/red stoma should be uncovered.