I have been taking a lot of fiber to get my pouch to empty.  I go three days and then have to use a enema  I was on a lot of strong medicine .  Before when I got off the medicine my pouch would work ok.  I am worried sick on what to do.  I haven't called my Doctor which I will be doing tomorrow.  I  know I shouldn't use an enema but don't know what else to do.  Any advice would be greatly appreciated.

Original Post

Are you drinking enough water? What kind of fibre are you taking?  Fibre is capable of causing a blockage or I opening you up!  You can buy magnesium based powders a that draws fluid into your bowels to flush them and they are fairly safe for long term use of required

Hi Worried,

I am 12 days post Ileostomy reversal and trying to adjust to using my pouch. Day 10 I went two days without a BM, got worried, rang the hospital and under advice from registrar (who was looking after me in hospital) took a 20ml dose of Lactulose. That is the same product they give us here in hospital. Tastes like caramel syrup. Works for me every time after 4-6 hours. Admittedly I am running back and forth to the loo for about an hour once it gets going. 

I am going to try to be strong today and see if pouch empties by itself, and not take Lactulose. However it has been 2 days again since last BM. Is this going to be  my pouch routine? Totally goes against what I read where some go 4-6 times a day.

I hope you have found a solution by now. Perhaps 3 days is your routine? Has anything changed?

Hi. I am 5 months last takedown and also struggled with constipation. Went for days without a bm's. I now take a mild daily laxative Movicol but it is not enough and I stubbornly won't increase the dose. The worst is a dry stool will get stuck in the anus and will just not come out even with straining which is also not good. I feel like I want to gauge it out. I resorted to enimas self administered which worked but not keen to make a habit. Recently focussed on diet and exercise as solution and it has helped a lot. I eat 6 prunes a day and additional fibre in bran cereal and raw apples and veg. Mostly 2 liters of water a day is making the difference. I exercise a few hours a week.  I now have around 6-10 bm's a day. Small volumes but  welcome each one for relief. Still taking the mild laxative but hoping to wean off it soon. I do have odd accident and uncontrollable gas after big meals which I am still learning to deal with. My doc says I am still in adjustment and things will still improve. So still hopeful to come off laxatives altogether and fewer and more meaningful bm's. I long for the day to have a good old "dump" and walk away completely relieved! Bottom line...lots of water, raw foods and exercise helps.

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