Hi Ruby have you tried tap water enema? I’ve been using this up to 4xs a day and helps me with elimination if jpouch! Been dealing with constipation for past year! Saw GI recently after an MRI of pelvic area says there is scar tissue and wants me to see surgeon as may need to go back to ikeostony! Not too pleased now waiting to see colorectal surgeon! In meantime been reading that some people with same issues talk about dilation! I’m trying to read up on it further! All this may explain my straining and thinking it was constipation! Also read if low levels of magnesium this may be the cause for constipation ! So now till I see surgeon confused if it’s scar tissue causing elimination problems or constipation! Hope this tap water enema helps! I remember when I saw surgeon a year ago when I thought it was constipation he said to get the enema throw out the liquid as damaging to the kidneys and you plain tap water! Hope you can find s solution