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Reply to "Jpouch Cream"

Hello, Borislav. 

Bobish is right about the coffee and wine. Let's see if your diet can be adjusted, just a little bit. Just to see if changing food can help you feel better and give your pouch some rest. 

Is your breakfast toast a whole wheat toast?  If it is, whole wheat might be too much fibre for you. Try plain white bread. Or sour dough bread. Honey is pure sugar. Sugar can make pouchitis very bad, can cause severe inflammation in the pouch, and that will make you go to the bathroom all the time, non stop. Can you stop eating honey for a few weeks (until you and your doctors find out what is causing your problems)?  

Instead of butter on your toast (which can cause greasy, loose stool and gas because it is diary), can you try peanut butter, almond butter, hazelnut butter on your plain white toast? How about peanut butter on toast and slices of banana on top? That will help thicken stool, and banana has potassium, peanut butter has protein. Or spread avocado on white toast, sprinkle a little salt. Soft boiled eggs? When I came home from the hospital, all my meals were eggs, white toast, peanut butter for breakfast. Pasta and olive oil and salt for lunch. Steamed fish and white rice for dinner. Slowly I added well cooked green vegetable, but only after 5 or 6 months. I could not have vegetables for a long time. At that time a salad would probably make me faint! Even now I don't eat salad. I did have snacks in between meals: yoghurt, banana on toast and peanut butter. I kept lots of hard cooked eggs in the fridge so I  could have a ready snack anytime. Canned tuna fish on crackers. No seeds or nuts.

Spaghetti for lunch is good. Try not to have it with tomato sauce, for now. Tomatoes are acidic and can irritate your pouch. If you eat tomato skins, that is more fiber. It will make you go. Can you have spaghetti without tomato sauce, just have it with extra virgin olive oil, sprinkle a bit of salt?  Avoid sprinkling pepper on anything because that can burn you even more. Spices can hurt. Baked potato is good for making stools thick, but make sure you remove the skin. The potato skin is fiber. Right now you need to avoid insoluable fiber. Insoluable fiber will not dissolve or break down in your intestines, it will come out whole and it will irritate  and hurt. You want to eat soluable fiber. Soluable fiber WILL break down in your intestines and become like gel, and slow down the number of  bowel movements.  For example, zucchini is good because the flesh is soluable, but you must not eat the skin because skin is insoluble. Steamed or baked fish is excellent for protein. Do you eat white rice? Try not to eat any greasy, deep fried foods. 

I would stop salads and cucumber and maybe try again next year. Salad will increase your BMs all day long. Some people can eat salad no problem, but since you are having lots of difficulty right now with your pouch, avoid salads. Salads can be too hard for your system to digest right now. Does your salad have lettuce? Celery? Carrots? Radishes? Seeds? All too hard.  Cucumber skin is very hard on an irritated pouch. Peel the skin and eat the flesh, see if that is better.  Can you try peeled cooked zucchini, or try some squash cooked very, very well?  Whatever vegetable you try, don't eat the skins. Celery can cause problems - hard. Carrots are all right if cooked very, very well and mashed with a fork. Try to mash your vegetables or cook them a few hours into a soup. Chew everything extremely well.

Send soft food down to your pouch that is cooked very well, mashed, puréed, baked, whatever, so that your pouch doesn't have to work so hard right now. Your pouch needs a rest from tomatoes and sauces, salads, coffee, honey, sugars. When you get better you can try to eat whatever you want, but for now make your diet plain, soluable, soft, nutritious food. That might help give your pouch some rest and time to heal. Right now, feed your pouch as if it is a baby. 

 

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