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Son takes a long time to empty pouch

My son is 11 years old and has had his jpouch for 5 years. Overall, he has done really well. Our struggle right now is that he takes a really long time to empty his pouch … 30 min to an hour. He only goes to the bathroom 2-3 times a day. I have asked his doctor and he didn't seem concerned. He is now in middle school and missing large chucks of classes. I certainly don't want him going every hour, but it is hard for other people to understand that he can't help it and isn't goofing off. Anyone have any ideas to help him speed things along? He also has ADHD, Tourette's, OCD, and anxiety. He is only taking medication for the ADHD. The medications for the other issues constipated him, so we had to quit taking those. That was a year ago, so I wouldn't think it is a residual effect. 

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