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Reply to "Anybody try Align 4mg probiotic??? My gastro said I should try it for prevention of pouchitis"

@CTBarrister posted:

The J Pouch doesn't have a valve that prevents stool from back splashing into the ileum- as the colon does. As a result, there is a bacterial buildup at the J Pouch inlet and in the lower part of the neoterminal ileum that can create inflammation in those areas. This is a fairly common issue especially with people that have had a J Pouch for a while. I didn't have any problems in these areas for my first 15 years with a J pouch. See the below:

https://en.m.wikipedia.org/wiki/Ileocecal_valve

Oh my goodness!!! I never knew anything about that stuff! I see why now soo many people are getting sooo many problems after soo many years! That is pretty scary! I cannot believe how sooo many things can go wrong our J-pouch, it makes me almost regret getting one now. But I have to admit, I do have much less problems with a J-pouch vs a Ileostomy. Too bad there is pros and cons to everything nowadays

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