I went for a long time getting really sick at my stomach and at times throwing up. Then I got really sick, hospitalized then had operation after I go stronger. Until surgery I was put on a diet to hopefully not obstruct till surgery. Surgery was two months later and I did ok until then. the pouch had prolapsed some and did find part of my bowels attached to female parts which they separated. Doctor said he thought I was having bowel obstruction all the times I got sick. He explained to me it is like a rubber band that twist. Sometimes it untwist by itself. Another words each time before it corrected itself until it didn't. As far as the J-pouch relapse I asked if I did anything to cause it. He first said no then he said well straining too much can cause it. I don't think they would of done anything until it got to the point when I got so sick except give me the diet plan I should be on. I hope you don't get to the point I did. Very painful!!!