I've a J-Pouch since 1992 and -but for the first few years after the surgery - I'm grateful to the fact that it's been a rather smooth ride. In recent years though, I began experiencing short lived bouts of dull pain above and just left of the belly button. The pain would become sharp as I'd press on it. It would usually subside within a few hours - after emptying the J-pouch once or twice...The last episode started 3 days ago but this time it's sticking around - which is somewhat disconcerting. I'm 170 lbs at 5'10" and physically fit. I live an active live and eat well. I suspect that this pain is related to my J-Pouch surgery...Could this be adhesions as many of you described - even 25 years after the surgery?