Hi sorry to hear about your issues and can understand as I am in the same boat it would seem, had UC in 1985 by 1987 had a working j pouch good for a few years then problems with obstructions so no fibre ie fruit whole grain products etc. for many years last year could not eat any solids so a year of ensure yogurt ice cream. After all the tests and biopies and surgery for adhesions that did not help the problem the result was a finding of Crohn's and idiopathic IBD in the pouch and inflamation of the inlet to the pouch which I believe would be the terminal ileium. Am on 20 mg of pred. which helps can not go lower or I obstruct tried methotrexate no help just this past Fri started Humira hope this helps so I can quit the pred. am on a waiting list since last June to see a surgeon in Toronto Can. to get some ideas one of course is diverting ostomy and leave the pouch in place not to keen on this. I live on the east coast of Canada and all the colo-rectal surg. are over worked and refuse to see you which is why I am going to Ontario at some time in the future. This problem seems to be common unfortunately. Shawne