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I noticed that a good amount of people on here have mentioned that if you are able to pass gas without having an accident, you are a very lucky person. I thought I would just share with you how I am able to pass gas without an accident (most of the time). So, before having my j-pouch I had an ileostomy for 6 months. I noticed that anytime I needed to empty the air in my bag, I had to tilt the opening upward so that none of the stool would leak out. When I first had my j-pouch, I too struggle with passing gas and not having an accident. My doctor suggested that I lay on my side with my knees to my chest but I still have accidents. Finally, I realized that the only logical way for me to pass gas would be to do like I did with my ileostomy. I needed to point my "opening" upward. So, now, what I do when I feel my stomach start to bubble, is I lay on my back and pull my knees up to my chest (some times I pull back even farther and almost lean back on my shoulders with my legs in the air). This helps to point my butt upward and help to keep any stool from coming out. I obviously can't do this out in public but at home it works like a charm. Maybe try this technique in your bathroom while laying on a towel, first, until you can perfect it but so far this has worked for me almost every time (obviously if my pouch is really full, then I have an accident, but I can usually tell the difference between gas and a full pouch). I hope this helped some people. This trick may already be known to people in this community but I hadn't seen it anywhere so I just thought I'd share

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Alec, 

It is odd, and I concur, that as the years have gone by it has become difficult at times to pass gas on the toilet. Often I think it is more of a problem of sensing when it is close enough to evacuate. I seem to get the sensation of pressure and urgency when the gas is not yet near the pouch yet. Frustrating. Now that I know I have pretty severe chronic pouchitis, that may be the reason for the sensitivity.

Jan

Thanks ALECZ222! I do something kind of similar, laying on my side (towards my stomache) but with my behind aimed up, knees pulled in (one over the other and pulled up further). I find this easier than on my back but whatever works for each person is the best thing to do. I have an extra compilation of lower back issues so some positions are hard for me to get into due to pain.

Agree on difficulty passing gas on the toilet. The position is hard since the stool gets in the way then. Sometimes after I get stool out I can get some gas out afterwards.

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