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Dawn,
I have had a RV fistula for about 7 years now with an otherwise perfect 17.5 year old pouch.
Send me an email if you want real nitty gritty detail of life with an RV fistula.
Do you have a fistula? Or are just curious?
CJ
p.s. Yes Metamucil helps decrease the leakage, and yes sex is okay with a fistula.
Been dealing with an R/V fistula for 3.5 years now. CJB is completely right, bulking up does help and sex is fine (although bathing afterward has been recommended to me). Some fistulas are more active and larger than others, and every fistula can act up more at different times. A lot of how you deal with it comes down to your attitude and how it is affecting your daily life.

If I can answer any other questions, let me know.

Gin

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