Hi there! I also deal with phantom rectum since having my colon, rectum and anus removed. I find it occurs a lot when I am anxious or have specific pains but it can be random for me as well. I know it isn't talked about much but I believe it is pretty "normal." However, if it is really bothering you, I do agree with Brooke in that it might not be a bad idea to see your GI if things continue. Thinking about you! ~Marisa