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Reply to "New Patient; J-Pouch Surg 03/26/2019"

I’ve had more success with psyllium powder (or wafers, if you prefer) than tablets (like Fibercon) or capsules. The powder seems to mix better with intestinal contents.

The Advil (or other NSAIDs) can cause problems, especially taken so frequently. It can lead to pouchitis.

Things should start to improve soon - for most folks butt burn becomes an unpleasant memory. You’re less than 4 weeks out, but I’d suggest he start to try to delay trips to the toilet (if he isn’t already doing so). This is sometimes called “stretching the pouch.” It has two benefits, if it’s done gently: 1) fewer bathroom trips causes less skin irritation, and 2) longer times between visits allows for more water absorption (and less liquid stools). You don’t say how often he’s going, but if it’s more often than about every 4 hours then there’s room for improvement.

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