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Without having an accident? is it that the J pouch is not as good a holding tank as the rectum was? is it one or both of the sphincter muscles not working as well as they once did? if it is the sphincter muscles why would that have changed given they worked excellently for decades but then lost that ability after not being used for only five months; does anyone have a logical technical explanation of what’s going on

 

thanks

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I think part of it is that the stool tends to be soft, which makes it harder to separate stool from gas, and to distinguish the two. Another part probably has to do with the shape and size of the pouch, which isn’t as well-designed for farts as the original rectum was. I don’t think it has anything much to do with the sphincter, at least not in my case.

i agree with the previous post.  It all boils down to diet.  Depending on what I eat I can easily pass gas and when I do, I smile as if I had an orgasm.  It's such a rush, and I'm like wow, how did that just happen?  Always of course when I'm alone.  I had my two part surgery in 2001.  I used to live on Metamucil, but stopped it when I switched over to a whole food plant based diet 3 years ago.  More fiber than I ever need.

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