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Hello

 

I had my takedown 9 days ago In paris. Regardless that i was operated by one of the best colorectal depts in france ( beujon hospital) I feel lost. I left the hospital 4 days ago and they gave me no advice on what to expect.

 

Thats why im posting:

 

I have approx 5-6 Bms from 0800 am - 8 pm however during the evening this becomes diabolic and can be 12 bms-

 

all i want to know is if this is normal? Is 15-25 bms per day normal J+9 ?

 

If so when will things slow down and what can I do to accelerate this. If this is not normal what do i do.

 

like i said im lost!!

 

Please help.

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hello,

 

 

it takes time for the pouch to adapt and stretch to its full capacity. It is different for us all. Food wise, adaptation wise. Could be trial and error with seeing what works and what doesn't. 

 

You may wish to keep a food diary and avoid roughage to begin with, things like nuts, salads for example and stick to bland diet type foods. potatoes, rice, try a piece of cheese or two, banana's, and peanut butter, baked fish, chicken are also good starters. Protein...

 

Also could you ask for a script for something like immodium capsules/loperamide or an equivilant you may have over in Paris/France?  This drug or Lomotil help slow down the gut and are non addictive/habit forming etc. You can take up to 8 pills but not exceed that many in a 24 hour period. Usually 1 or 2 pills at a time every 4 hours works well

 

I am personally a "foodie" type, don't have pouchitis (pouch infection) and my natural amt of times i hav eto go to the bathroom to empty my pouch is anywhere from 8-12 times a day.

 

This well get better as you pouch adapts inside your body, stretches some, and you become an older poucher (longer out from surgery  people notice improvements) sometimes its baby steps first.

 

Best Wishes. I hope my response was helpful.

 

-Len

To add to what has been said, there really is no way to expedite adaptation. your best friend is patience at this point. Do not expect improvement on a daily basis, but more by weeks and months. Most people see significant improvement in function by the 12 week mark. Some take less time, some more, but not because of something they did or didn't do.

 

Jan

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