Thank you Scott. An excellent thought. I may, well, be discontinuing the Diltiazem hastily. I feel that I need a scope badly. I have a hard anal lump about an inch in that feels unusual and worrisome (not a hemorrhoid) x 14 days now. I want it diagnosed prior to starting a longer course of Diltiazem, but agree that that may be the answer. Trial and error seems par for the course with J-pouch and ostomies. Will keep you in the loop.