It is still very early days for you. Your pouch is still new at four months and it's trying to learn how to live its new life and behave like a small colon. When my pouch was a few weeks old it was so easy and I thought I got lucky. After two months I got my first bout of pouchitis and everything went downhill for a while: urgent frequency, fissures that felt like razor blades, burning skin, and always a feeling of incomplete BMs and needing to go every 15 minutes. This went on for weeks, then gradually it got better and better. Don't strain or push; you don't want to develop fissures. As your pouch matures and learns how to hold more and more stool, and your wounds and skin heal and toughens up, it should be much, much better. Food choices will be very important now, so don't feed your pouch anything rough, raw, spicy or insoluable. Be patient. You had major surgery and your insides are swollen and still healing. I began to feel normal at around eight months, and now most days I forget I have a j pouch. Don't be discouraged. One day at a time.