All of my troubles with my pouch went away when my husband bought me a Toto bidet that has a few different settings. The turbo setting with warm water a few times keeps my pouch cleaned out and all my pouch troubles went away.
I take Canasa (from a Canadian mail order pharmacy) for "cuffitis". My pouch is healthy, but the tiny bit of colon left behind has started giving me problems 3 years post surgery. Oh happy day! But Canasa works wonders.
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