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Reply to "J-pouch- colonic narrowing in small intestine"

The fortunate thing for you is that you know what the problem is: a stricture. Many of us suffer with the occasional, random obstruction due to adhesions. A stricture is a little different. It is always there. You may or may not have more trouble, but the fact that this stricture is there means it is more likely that you will have more challenges with obstructions. Too much fiber can block you, and the resulting inflammation could be serious (as you found with this episode). Strictures can tighten over time too, so that can add to your concern.

That said, you should be able to eat fairly normally, but be sure to advance your diet gradually. I would also avoid very fibrous food and roughage, and chew very well. You could be lucky and this is the first and last episode. But, it just makes sense to be vigilant. If it becomes recurrent, you will just have to have the stricture resected. 

Another thing to discuss with your doctor is whether this is a possible sign of a Crohn’s diagnosis or just a complication of your surgery.

Good luck!

Jan

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