I had colonic inertia and tried everything under the sun (medications, physiotherapy, acupuncture, cecostomy tube) until I ended up in the hospital because my colon just quit. I had an emergency colectomy and ileostomy. Wow, what a difference for the positive. No more pain, no enemas, no golytely daily. I had my life back. About a year and a half after that my surgeon gave me my j pouch and reversed the Ostomy. I am still happy with the results and my sphincters work well. I have been plagued with peri-anal abscesses and fistulae as well as the occasional bowel obstruction but still manage to work full-time as a critical care RN, travel, and play in a pipe band. Good luck on your journey wherever it may lead you.