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Reply to "Straining when going to the bathroom & causing yourself hernia? Is that possible?"

Hernia is less of a risk than damage to the pouch through prolapse or even the circulation to the pouch. Straining is a sign of either stool that is too solid, anal or pouch inlet stricture, or even prolapse that already exists. The first two issues are easy to diagnose. Prolapse is more difficult, since it cannot be seen by regular examination or scoping. Prolapse is only seen during defecation and is where the pouch structure collapses on itself. Surgical repair is possible, but not always successful.

Straining until you see stars is always a sign of poor function.

Jan

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