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Issues with pouch?

Hello,

It has been 5 years since my second takedown (I had pouch redo in 2015).

I currently have issues passing stool / gas when sitting on the toilet. If I have a completely liquid stool, I can generally pass it. However, anything stool consistency outside of water and I have trouble passing it. I have to strain a lot and then eventually something comes out.

I also have difficulty passing gas from a sitting position. Recently I have a huge amount of gas to pass throughout the day (and night). This is causing me to wake up every hour or so when I am trying to sleep to be laying down or standing up. As a bonus, I have continuous pain (burning) which causes me to wake up too (butt burn / anal irritation, with blood on paper)

I think it could be pouchitis, although I had a colonoscopy 3 months ago and everything was clear.

I am also experiencing minor bouts of incontinence / leakage during day and night.

I could be in need of a dilation, but since I have incontinence when I have a watery stool, it is not something that I think is a good idea.

I have been in touch with my surgeon, and I am just starting a round of Cipro. My surgeon is not seeing patients at the moment due to coronavirus.

Any suggestions? This is starting to interfere with quality of life.

Thanks in advance.

Solomin

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