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Reply to "Pouchitis - Pain"

It's not clear whether your pain is constant or only when you poop. This degree of pain *with defecation* seems to most often be from an anal fissure. If it's an anal fissure these are most often treated with 1) sitz baths, 2) keeping the stool soft, 3) topical treatment with nitroglycerin or nifedipine or diltiazem, 4) (occasionally) Botox injections. Has your specialist told you what he thinks is going on?

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