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Reply to "Great foods to eat while having a jpouch"

Cokey Scott posted:

Hi  Kim I'm new to the group, I have a jpouch and I have the butt burn and I had  my take down Feb 11th, I was wondering have your butt burn stop,  and will it ever stop? Thank you for your input. 

Hi Cokey Scott,

I found that Metamucil really helped me with butt burn. In fact, without Metamucil, my j-pouch would have been unbearable.

Try taking a heaped teaspoon of fine Metamucil right before eating (i.e. just before you take the first bite). Mix it with just enough water so you can swallow it, and chug it down quickly before it turns to jelly (you want it to do that in your stomach, not in the cup). It cushions the BM so it is less watery and acidic, and the "bits" that also irritate are suspended in a gel.

Of course, try a small amount first, carefully, to make sure you can tolerate it, and work up to a heaped teaspoon if all seems well. And, if you get distracted and it jellifies in the cup, throw it out and start again. You can't swallow it once it starts to react with the water, and it becomes a choking hazard. Oh, and don't attempt to mix it with sparkling mineral water when you are in a restaurant and the waitress keeps forgetting the plain water you asked for ... that leads to an embarrassing mess :-)

I found that only finely ground psyllium husks work. The coarser one in Metamucil or other brands did not help. (I believe that Metamucil is the only brand that comes in a finely ground version.)

Also, just wanted to add that my j-pouch improved steadily in the first year, and I have read quite a few other people here say the same.

Cheers,

Sarah

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