Hi!

Now I have been 4 months post-takedown surgery and I felt I was getting better as I was able to start passing gas and control my body.  However, this past week everything went bad again were I feel a constantly bloated if I eat something.  It also hurts but not like a blockage as that I would know and run to E&R. 

I was just wondering if  any body has every had this were they feel bloated constantly.  I asked my surgeon about this and he said it has more to do with the diet which for me wasn't really a good explanation as I eat quite healthy and train everyday thus I don't know how my healthy diet could be doing this.

I am more worried it could be and infection or inflammation in the pouch.  If anybody could help out that would be great 

Original Post

I agree with Te Marie - someone suggested the Beano pill. I take that before lunch and dinner (gas isn’t an issue for me in the am). It has gotten better the farther I get from the surgery, so there’s that to look forward to. Hope you find some relief soon. 

Hi, Jawesome.  Also look up food combining. This is where certain food groups eaten together can cause fermenting in the stomach and can lead to bloating and gas, and other digestion upset. For instance, protein (meat, chicken) eaten with carbohydrates (potatoes, pasta, white rice, white bread) is not recommended because it can cause a range of digestive rumblings. 

Jawesome posted:

Hi!

Now I have been 4 months post-takedown surgery and I felt I was getting better as I was able to start passing gas and control my body.  However, this past week everything went bad again were I feel a constantly bloated if I eat something.  It also hurts but not like a blockage as that I would know and run to E&R. 

I was just wondering if  any body has every had this were they feel bloated constantly.  I asked my surgeon about this and he said it has more to do with the diet which for me wasn't really a good explanation as I eat quite healthy and train everyday thus I don't know how my healthy diet could be doing this.

I am more worried it could be and infection or inflammation in the pouch.  If anybody could help out that would be great 

Hello there,

Did your surgeon make any specific diet suggestions? The healthy diet of someone with a colon may not be suitable for someone with a j-pouch, especially when you are only 4 months in.

I had to stick to a low-fibre diet for most of the first year – no raw fruit or vegies, no high-fibre legumes (e.g. lentils, chick peas), no cabbage or sprouts, minimal onion (and make sure it was well cooked), no hot chilli, and no nuts or seeds.

I stuck to well-cooked vegies, stewed fruit (peeled), clear juice, white rice, nut butters, noodles, lean meats. Basically I started with low residue, then gradually expanded meals to include more items as my j-pouch settled in.

Yes, it was boring, and yes it goes against the ideas of a healthy diet, but as the year passed, my ability to deal with foods improved. Straight after the take-down op, I was on mashed potato and white peanut butter toast, but by the end of the year I could enjoy a stir-fry with cashews.

Lentils, cabbage and raw salads remained problematic for me, but I had no trouble eating well, going to restaurants, etc. after the first year.

Another thing I found was that ingesting food and liquid at the same time lead to problems. So drinking a glass of water with a meal was not a good idea (a few sips was fine). Also, soup that had a broth with chunky vegies was also not good due to the liquid/solid combo. Clear soup or a lighter blended soup was okay.

So, to summarise, you could try going back to a low-residue diet. Hopefully things will improve, and you can gradually add foods back in. If the low-residue diet doesn't help, then maybe seek further medical advice.

Cheers, Sarah

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