I’m sorry this is happening to you. I’ve had cuffitis and bleeding off & on for many years...sometimes self induced...it’s as as if I still have UC when it happens (side note: I cannot eat any nuts especially almonds or raw veggies like carrots, causes cuff issues/ bleeding & throbbing for me) also, stress, lack of sleep... my primary doc told me the pulsing/ throbbing of the cuff/ pouch is like a migrane headache...I use a gas x pill & 1 ibuprofen (not often only when it’s severe that I can’t sleep) but that’s what works for me it’s hard being on & off the toilet & resting is key to feeling better/ quieting the inflammation. I’m not sure if you have access to a detachable shower head but the warm flow of water can relax the area or a tub or warm compress. Please hang in there & rest when you can. I feel like our Jpouches are a reservoir, not meant to hold stool but a temporary spot to store it so going when you have the urge is good. Holding it too long is not good. Have you tried probiotics, plain yogurt or yogurt smoothies? Soft foods to go over/ pass over the cuff.