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Reply to "Low quality of life with pouch... not sure what to do"

Two months is too short a time period for many j pouches to reach optimal, and hopefully satisfactory results.  I had a j pouch for 30 years and it took well over a year before things stabilized.  Still, I had ongoing anal discomfort, frequency issues (8-15 per day) and occasional “accidents”.  I stayed with the pouch because I strongly wanted to avoid having the bag.  I found using a bidet regularly, use of barrier creams, avoiding foods that caused problems and wearing an absorbent pad in my shorts when needed helped me to lead a near normal life.  IMHO, I would give your j pouch more time to “mature” before considering the major surgery of pouch removal.  Once a j pouch is removed, there is no turning back.  Your options at that point are an end ileostomy, plus there are the k pouch and BCIR that do not require use of an external bag.  Hang in there, and best of luck!

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