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Reply to "Intense gas pain. Help!"

That sounds really weird, you should contact the hospital where they did the surgery. I don't know if a floppy pouch syndrome can have the effect, that you can only poop when lying on the side. But if there is a prolaps that shuts the anus except when lying on the side that would make sense.

Another possibility would be a kink in the small intestine when you sit / stand. Maybe caused by adhesions. But then at least the content of the pouch should come out on the toilet.

Anyway your doctors should find out what it is. An MRI is done in lying position, but on the back, and it has a good resolution for soft tissue like the bowel / pouch. I just read that there is a MRI dynamic defecography imaging. Floppy pouch can also be examined by a careful pouchoscopy.

Regarding pain from gas, I know that simethicone is sometimes not a big help. For some people here antibiotics are very helpful (for pouchitis, like metronidazone and ciprofloxacine) to reduce bacteria, that can grow very well when there are obstructions. Ask your doctor if he / she agrees. That may give you some relief. But in my eyes that gas is only the secondary problem.

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