Hi there, I would like to see somebody at Mayo to discuss my options for my sphincter issues. I live in Iowa...my surgeon here cannot help me with this issue besides having me take miralax and enemas all day long. My issue is not leaking. My sphincter pressure is too high and I cannot empty easily. My surgeon does not offer Botox for sphincter, says I’m not a candidate for biofeedback, and doesn’t have any idea of medicine/suppository I can take for this problem. My jpouch is supposedly “correct”. No pouchitis, cuffitis, nothing like that. I feel great besides emptying troubles. If I go to mayo, who should I see? A GI? A surgeon? Who do I contact at mayo to discuss my problem?