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Reply to "The muscles in my in my bottom no longer work difficult to eliminate stool must force"

What can happen is that the cuff can restrict over a period of years due to scar tissue, even more so if any pouchitis is present in the area. In the UK slight dilatation is carried out You may notice that your index finger will only just pass through the cuff, ( connective tissue between the pouch and the outlet) if that it the case then dilation may be required. I myself am struggling with a similar problem. 

 

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