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I have had a J-Pouch since 1997 and "knock on wood" everything has been great minus a few bumps in the road.

I sometimes get a little alarmed because I might see blood on the TP after a BM. Mainly on the paper but I can't tell when I look in the bowel. It may occur for a few days and then go away for weeks without any evidence of blood. I eat a healthy diet but stay away from nuts, raw vegetables, corn, popcorn and very spicy foods to name a few off the top of my head.

I'm curious if other people experience a similar situation?  I don't think it's pouchitis because I do eat "mild" salsa, red marinara sauce and cooked veggies with a reddish color.

Does anyone experience a similar situation?

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Hey Ben,

congrats in being a 25 yr successful poucher!

where have you been hiding? I am always glad to hear of a successful poucher!

my only real consistent blood occurs if my cuffititis is flaring.  I have had some one off red blood on toilet paper, but only from a hemorrhoid or other peri anal irritation.

while I would not panic, it’s something to mention to your GI so they can check it out on your next scope (assuming you still get a pouchoscopy).

Ben S.  I had J-Pouch surgery 2010.  I lost 40lbs and have pain. You had yours before me.  Thats wonderful, that your surgery went well. Yes, I see blood sometimes especially when I eat something that doesn't agree with me.  Marinara and spice might be your problem. I know some people do very well, I am not one of them.  I have to tell you that when I found this sight, it was the best thing that happened to me.  I learned about many problems that I had from this sight.  I would call my Drs. to see if I can take this or do this and get answers.  Unfortunately, the Drs do not tell you everything when you leave the hospital.  I learned mostly everything from this sight.  I would write it down and ask the Drs. from the info I received from this site.  Most of the answers were yes.  When I am having a problem bleeding and pain, I use Lidocaine HCI Hydrocortisone Acetate 0.5% you attach it to the tube, so it goes further in, and it does give you some relieve from the pain and stops the bleeding.  The Drs. might have other recommendations I would advise you to do the same as I did and ask your Dr. if that is good for you.  Everyone is different.  I am not a Dr.  but I have learned things from this sight.  The poucher's on this sight will give you great information and then you ask your Dr. if it would be good for you.  Good Luck and feel better and make sure you ask your Dr.  about any concerns that you have. 

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