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Some people have a need for irrigation, particularly if they have difficulty emptying. But, it is not a general recommendation for all pouches as far as I know. 

That said, it is true that the small intestine is not intended as a reservoir for stool. This is why you do not want to slow the gut too much. But, over time, the ileal pouch mucosa evolves on a cellular level to resemble colonic tissue. So, it adapts.

Having stool come out as fast as possible sounds like an intolerable existence!

Jan

Exactly! We are all different. Many of us try to slow things down in order to be able to leave the house and live a normal life. Some improperly seek bowel movements similar to that with a colon and rectum. Others are troubled by constipation or poor emptying issues. 

Stool sitting in the pouch for prolonged periods does promote excessive bacterial growth. That is true. The key is finding that balance.

Jan

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