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Hello!

I recently had my first ever pouchoscopy carried out since the construction of my pouch 5 years ago - this was done via flexible sigmoidoscopy.

Has anyone ever had very loose stools for up to a week (or more) post-procedure? This procedure is new to me so I'm unaware of the potential side effects. I'm wondering if it's possible that my small intestine/pouch was aggravated from the examination?

It's worth mentioning that my pouch was found to be in good health but the discomfort I've been having is due to a narrowing and, I think, an infection (I can't quite remember everything I was told after the procedure).



Thanks

Last edited by JordySimo
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Jordy,

I have a stricture at the J Pouch inlet and my doctor said as long he can get the scope through, a balloon dilation would not be be needed. Pretty simple test. Your post suggests that the scope would not go through on its own. I would think a digital dilation was meant as a gentle substitute for a balloon dilation (which is a risky procedure because of potential for tearing of tissue), and you should not have those issues due to a digital dilation. Whether the scope may have caused those issues is another story. In the past scopes have caused minor irritations of the pouch and those can be the cause of loose stools for a few days. The scope prep (enemas and laxatives) can also be harsh and irritating. If it doesn't persist for more than a week, I wouldn't worry about it. But I think the prep rather than the scope itself is more likely harsh on the pouch causing irritation of tissues, although it could be either.

Last edited by CTBarrister

CTBarrister,

Thanks for that information. My consultant who carried out the procedure said it was as narrow as her finger so there's a fair bit of scarring down there which I'll need dilated at some point. I think I'll contact the Endoscopy department and ask about the loose stools just to be sure, hopefully they can put me in touch with someone sooner rather than later.



Lauren,

I'm hoping that's what has happened and that things will clear up soon. I wonder why this happens after dilation? As I've said, this is new to me so I'm unaware of how they do it and what exactly is done.

@CTBarrister posted:

Jordy,

I have a stricture at the J Pouch inlet and my doctor said as long he can get the scope through, a balloon dilation would not be be needed. Pretty simple test. Your post suggests that the scope would not go through on its own. I would think a digital dilation was meant as a gentle substitute for a balloon dilation (which is a risky procedure because of potential for tearing of tissue), and you should not have those issues due to a digital dilation. Whether the scope may have caused those issues is another story. In the past scopes have caused minor irritations of the pouch and those can be the cause of loose stools for a few days. The scope prep (enemas and laxatives) can also be harsh and irritating. If it doesn't persist for more than a week, I wouldn't worry about it. But I think the prep rather than the scope itself is more likely harsh on the pouch causing irritation of tissues, although it could be either.

When you say pouch inlet, are you referring to top of pouch? or do you mean where pouch and anus meet? cuz the last few years I was told I had a few small ulcers at the pouch inlet but that was at the top where it goes into the pouch.. they said no meds as long as not having symptoms which I haven't. They said it doesn't appear to be crohns related and biopsies were fine. I had UC btw.. just stated sometimes there are ulcers there

Pouch inlet = top of pouch where stool enters

Pouch outlet = bottom of pouch where stool exits.

Every set of scope pics I have received have used those terms for at least the past 10 years.

The inlet is the area that is commonly strictured due to backsplash stool/no backsplash valve being present in the pouch as there was in the colon's inlet from the ileum before colectomy. The outlet would more likely be strictured due to inflammation in the cuff or cuffitis.

Last edited by CTBarrister
@JordySimo posted:

CTBarrister,

Thanks for that information. My consultant who carried out the procedure said it was as narrow as her finger so there's a fair bit of scarring down there which I'll need dilated at some point. I think I'll contact the Endoscopy department and ask about the loose stools just to be sure, hopefully they can put me in touch with someone sooner rather than later.



Lauren,

I'm hoping that's what has happened and that things will clear up soon. I wonder why this happens after dilation? As I've said, this is new to me so I'm unaware of how they do it and what exactly is done.

I hope things get better for you! I think it will since he opened stuff up.

Last edited by Lauren Of Emerald City

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