i've had my j pouch due to severe uc/chron's since 1999. tomato sauce makes it worse. also big meals dont help. i have switched to stelara and my toilet visits has decreased from about 15-20 to 6-10 per day. at night from 3-5 to 1-2. it has definitely improved my life experience. only problem now is inflamed lungs but life goes on. dave.