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Is pouch empty?

I’ve had a pouch about 8 months.  One of my challenges pre takedown (pouch in place but not connected) was that I had pelvic floor issues that would make emptying my pouch difficult.  I saw a PT who was able to help train my muscles to learn how to push things out of the pouch.  

Now, unless I drink lots of coffee to get my stool very liquid, it’s hard to empty my pouch.  

If my stool is liquid and coming out, how do you know that my pouch is empty? My guess (sorry graphic) is when the stool is followed by gas coming out?  Doc suggested enemas if I was really stuffed up.  The problem with that is my anus is so tight it’s hard to get the enema tip in my rear?

Any ideas folks?

Thanks as always,

Eric

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